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Individual
DR. MARVIN SHELTON
Active
Individual
DR. MARVIN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S, ED.D, RSAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9374
MO
101YP2500X
Professional Counselor
9374
MO
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
09/20/2016
Last updated
09/19/2019
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