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Individual
LISA PATRICE SHELTON
Active
Individual
LISA PATRICE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17438
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
25760
NC
101YM0800X
Mental Health Counselor
15221
NC
101YM0800X
Mental Health Counselor
Primary
S15221
NC
101YP2500X
Professional Counselor
180.008438
IL
106H00000X
Marriage & Family Therapist
180.008438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39168700
—
WI
Enumeration date
04/15/2008
Last updated
03/21/2023
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