Individual
SHELBY WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-P
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
608 E MAIN ST, MOUNT HOREB, WI 53572-2039
(608) 279-1823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11479
WI
Other
Enumeration date
05/25/2022
Last updated
12/18/2024
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