| Doctor Name: | KAREN D. SHACKELFORD |
| NPI Number: | 1114167590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC, NCC |
| License Number: | 6401010512 |
| Business Practice Address: | 2661 S Lapeer Rd Suite 206 Orion, MI - 483602261 |
| Business Phone Number: | 2483912606 |
| Business Fax Number: | 2483918862 |
| Mailing Address: | 2661 S Lapeer Rd, Suite 206 ORION |
| State: | MI |
| Postal Code: | 483602261 |
| Phone Number: | 2483912606 |
| Fax Number: | 2483918862 |
| NPI Enumeration Date: | 02/25/2009 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401010512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |