Individual
JAMAAL SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2907 MARIA DR, KILLEEN, TX 76549-3003
(718) 208-8349
Mailing address
1413 FORTINGALE CIR, SANDSTON, VA 23150-1001
(718) 208-8349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VA
251B00000X
Case Management Agency
Primary
1434
VA
Other
Enumeration date
10/13/2021
Last updated
10/25/2023
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