Individual
MRS. SHELBIE RENE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
Mailing address
11758 WHITE LN, OREGON CITY, OR 97045-5742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC3738
OR
Other
Enumeration date
06/06/2007
Last updated
12/06/2023
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