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Individual
MRS. BEVERLY B SHELTON
Active
Individual
MRS. BEVERLY B SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11121216
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11121216
CACII
SC
Enumeration date
01/17/2013
Last updated
01/17/2013
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