Individual
DYLAN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 N CAMPUS WALK, FAYETTEVILLE, AR 72701-4006
(479) 575-4258
Mailing address
480 N CAMPUS WALK, FAYETTEVILLE, AR 72701-4006
(479) 575-4258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/25/2020
Last updated
06/03/2024
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