Individual
AMANDA KAY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C, M.H.S.P
Contact information
Practice address
6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421-1894
(888) 291-4357
Mailing address
PO BOX 278, MADISONVILLE, TN 37354-0278
(423) 442-2622
(423) 442-5760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002566
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12147105
CAQH
—
01
—
2566
STATE LICENSE
TN
Enumeration date
09/08/2010
Last updated
01/09/2024
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