Individual
SHELBY BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5901 AIRPORT BLVD STE 100, MOBILE, AL 36608-3169
(251) 873-0002
Mailing address
5901 AIRPORT BLVD # 100, MOBILE, AL 36608-3169
(251) 202-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC04909
AL
101YP2500X
Professional Counselor
Primary
LPC04909
AL
102L00000X
Psychoanalyst
LPC04909
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438283
BCBSAL
AL
Enumeration date
06/09/2023
Last updated
01/08/2025
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