Individual
KARL SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCCC
Contact information
Practice address
9351 GRANT ST, SUITE 480, THORNTON, CO 80229-4358
(720) 382-9420
Mailing address
470 CIRCLE K RANCH RD, EVERGREEN, CO 80439-4338
(720) 382-9420
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
NLC 0103280
CO
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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