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Individual
SHELLY SHELTON MELTON
Active
Individual
SHELLY SHELTON MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, LPC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11327
TX
101YP2500X
Professional Counselor
67678
TX
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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