Individual
SUZZETTE M SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.D.C.
Contact information
Practice address
8509 WESTERN HILLS BOULEVARD, SUITE 200, FORT WORTH, TX 76108-3410
(817) 875-6219
(817) 336-4663
Mailing address
8509 WESTERN HILLS BLVD, SUITE 200, FORT WORTH, TX 76108-3410
(817) 875-6219
(817) 336-4663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3523
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
221496
TX
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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