Individual
SHELLI DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1500 E CEDAR AVE STE 80, FLAGSTAFF, AZ 86004-1644
(928) 774-3985
Mailing address
PO BOX 1473, FLAGSTAFF, AZ 86002-1473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18635
AZ
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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