Doctor Name: | MRS. CHRISTINE ANITA SHELTON |
NPI Number: | 1053506360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT 38626 CA |
License Number: | MFT 38626 |
Business Practice Address: | 405 W Main St Grass Valley, CA - 959456403 |
Business Phone Number: | 5302720995 |
Business Fax Number: | 5302731299 |
Mailing Address: | 10378 Carey Dr, GRASS VALLEY |
State: | CA |
Postal Code: | 959454801 |
Phone Number: | 5302720995 |
Fax Number: | 5302731299 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT 38626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |