Individual
GAYE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5301 BUCKEYSTOWN PIKE, FREDERICK, MD 21704-8370
(301) 733-0331
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698800803
—
MD
Enumeration date
02/22/2006
Last updated
02/20/2018
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