Individual
HEATHER ANN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1999 N AMIDON AVE STE 365, WICHITA, KS 67203-2160
(316) 285-9154
(316) 348-8386
Mailing address
2810 W CORNELISON ST, WICHITA, KS 67203-2027
(316) 259-1364
(316) 348-8386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2476
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104170A
—
KS
Enumeration date
09/24/2014
Last updated
01/05/2024
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