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Individual
VA-SHELLA EASTON
Active
Individual
VA-SHELLA EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPC-INTERN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
79904
TX
101YP2500X
Professional Counselor
Primary
79904
TX
Other
Enumeration date
12/05/2019
Last updated
03/05/2026
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