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Individual

SHAWN DAVID SHALTRY

Active
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Individual

SHAWN DAVID SHALTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016190
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401016190
MI

Other

Enumeration date
12/31/2017
Last updated
08/23/2026
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