Individual provider · Type 1 NPI

Mary Kay Shelton

Mental Health Counselor · Cleveland, OH

NPI number 1629648407 Active

Practice location

16600 W Sprague Rd
Cleveland, OH 44130-6318

Mailing address

1578 Hopkins Ave
Lakewood, OH 44107-5037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

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About NPI 1629648407

Mary Kay Shelton's National Provider Identifier is 1629648407, issued on Jun 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Jun 25, 2021.