Individual
KELLI M SHANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3618 LINDHOLM RD, SHAKER HEIGHTS, OH 44120-5127
(216) 752-0490
Mailing address
3618 LINDHOLM RD, SHAKER HEIGHTS, OH 44120-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1000593-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
02/04/2011
Last updated
02/21/2018
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