Individual
SHELLEY ELAINE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 758-2471
Mailing address
1722 ENVY LN, LONGVIEW, TX 75604-4421
(903) 619-2444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
05/17/2016
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