Individual
SHELLIE MARIE WILSON ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 N CAMPBELL AVE, SPRINGFIELD, MO 65803-2417
(417) 300-8001
Mailing address
2743 N CAMPBELL AVE, SPRINGFIELD, MO 65803-2417
(417) 300-8001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019031206
MO
101YM0800X
Mental Health Counselor
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678427847
HPSO
MO
Enumeration date
06/14/2019
Last updated
06/26/2024
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