| Doctor Name: | LISA P SHELTON |
| NPI Number: | 1104090745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 180.008438 |
| Business Practice Address: | 2835 Belvidere Rd Waukegan, IL - 600856046 |
| Business Phone Number: | 2247351210 |
| Business Fax Number: | |
| Mailing Address: | 2055 Grove Ave, NORTH CHICAGO |
| State: | IL |
| Postal Code: | 600642645 |
| Phone Number: | 2247351210 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 11/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.008438 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |