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Individual

SHELLEY S LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CSAC

Contact information

Practice address
150 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4063
(540) 207-9622
Mailing address
8119 DAVMAR LN, FREDERICKSBURG, VA 22407-2151
(540) 207-9622

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101550
VA
101YM0800X
Mental Health Counselor
Primary
0701003480
VA

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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