Individual
AMANDA KAY SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 IOLA AVE STE 111, LUBBOCK, TX 79424-2745
(903) 271-7022
Mailing address
3804 137TH, LUBBOCK, TX 79423-1242
(903) 271-7022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68499
TX
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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