Individual
SHELLEY TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 COVINGTON ST, ASHEVILLE, NC 28806-2601
(828) 582-4653
Mailing address
5 MEYERS AVE, ASHEVILLE, NC 28806-3230
(828) 582-4653
(828) 232-0784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7885
NC
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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