Individual
MRS. JESSICA MICHELLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P18003033
AR
101YP2500X
Professional Counselor
Primary
P1803033
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228497719
—
AR
Enumeration date
05/20/2010
Last updated
08/25/2020
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