DR. Wendy Kim Shackleford, ED.D., LPCC, NCC

NPI #1073828414 in Lancaster, Ohio

Provider Information

NPI Number: 1073828414
Entity Type: Individual
Name: DR. Wendy Kim Shackleford, ED.D., LPCC, NCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: ED.D., LPCC, NCC
Enumeration Date: Aug 10, 2010
Last Updated: Jun 11, 2012

Practice Location

Address: 1592 GRANVILLE PIKE
City: Lancaster
State: Ohio
ZIP Code: 43130-1076
Phone: (740) 687-0833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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