Individual
RHONDA ROCHELLE SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2688 CALDER ST, BEAUMONT, TX 77702-1917
(409) 813-2206
Mailing address
2688 CALDER ST, BEAUMONT, TX 77702-1917
(409) 813-2206
(409) 813-2236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043774985
—
TX
05
—
04541242
—
TX
Enumeration date
01/31/2023
Last updated
01/31/2023
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