Individual
VANESSA L SHELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1990 W 3RD ST, WILLIAMSPORT, PA 17701-7808
(570) 320-2816
Mailing address
267 WRONG RD, WILLIAMSPORT, PA 17702-8127
(570) 954-8609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
BH003309
PA
Other
Enumeration date
11/04/2009
Last updated
02/05/2019
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