Individual
SHELBY PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6A PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 543-8033
Mailing address
1622 OLD LAKE RD, BRANDON, MS 39042-7468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
10/03/2024
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