Shelby Shackelford

NPI #1700217643 in Shawnee, Oklahoma

Provider Information

NPI Number: 1700217643
Entity Type: Individual
Name: Shelby Shackelford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 326 W 11TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74801-6710
Phone: (405) 275-3340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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