Organization
M & K SHELTON, LICENSED CLINICAL SOCIAL WORKER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHELTON LCSW (PSYCHOTHERAPIST)
(413) 522-9629
Entity
Organization
Contact information
Practice address
1212 SUNCAST LN, EL DORADO HILLS, CA 95762-9685
(413) 522-9629
Mailing address
161 HOPFIELD DR, FOLSOM, CA 95630-8062
(413) 522-9629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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