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Individual
CHARLES J SHELTON
Active
Individual
CHARLES J SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701000523
VA
106H00000X
Marriage & Family Therapist
0717000221
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083108
SENTARA
VA
01
—
238960
TRIGON
VA
Enumeration date
11/16/2006
Last updated
05/24/2010
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