Individual
SHELLY RAE EHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-6126
Mailing address
2832 VIEW WAY, LAKESIDE, AZ 85929-5549
(928) 242-8729
(928) 368-8720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2472
AZ
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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