| NPI | 1053004143 |
|---|---|
| Other Name | JOE D SHELTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701011341) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701011341) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-09-28 |