DR. Marvin Shelton, ED.S, ED.D, RSAP

NPI #1003364969 in Hazelwood, Missouri

Provider Information

NPI Number: 1003364969
Entity Type: Individual
Name: DR. Marvin Shelton, ED.S, ED.D, RSAP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Credential: ED.S, ED.D, RSAP
Enumeration Date: Sep 20, 2016
Last Updated: Sep 19, 2019

Practice Location

Address: 6110 HOWDERSHELL RD
City: Hazelwood
State: Missouri
ZIP Code: 63042-1170
Phone: (314) 942-9499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Case Manager/Care Coordinator	171M00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center	261Q00000X	Primary

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