Individual
SHELLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2028 W 500 N, VERNAL, UT 84078-8283
(435) 790-2172
Mailing address
993 W 2000 N, VERNAL, UT 84078-9507
(435) 790-2172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8452066-6006
UT
101YM0800X
Mental Health Counselor
Primary
8452066-3501
UT
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/23/2016
Last updated
04/08/2025
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