Individual
SHAUN RAMON SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP-CS
Contact information
Practice address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(214) 707-9714
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(214) 707-9714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TX
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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