Individual
DEVOC SHELLETTA DOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5516 CHATHAM WOODS DR, COLUMBUS, GA 31907-1866
(706) 887-8333
Mailing address
5516 CHATHAM WOODS DR, COLUMBUS, GA 31907-1866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC010168
GA
101YM0800X
Mental Health Counselor
LPC010168
GA
101YP2500X
Professional Counselor
Primary
LPC010168
GA
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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