Individual provider · Type 1 NPI

Shelby Shackelford

Counselor · Shawnee, OK

NPI number 1700217643 Active

Practice location

326 W 11th St
Shawnee, OK 74801-6710

Fax (405) 275-3343

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1700217643

Shelby Shackelford's National Provider Identifier is 1700217643, issued on Dec 3, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shawnee, OK. The record was last updated on Dec 3, 2013.