Individual
SHELLEY SHADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
(703) 534-5100
Mailing address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704007063
VA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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