Individual
AMBER SHOCKLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2015011523
MO
101YP2500X
Professional Counselor
Primary
2015011523
MO
Other
Enumeration date
08/09/2017
Last updated
09/20/2022
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