Individual
HAILEY ANN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6879
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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