Doctor Name: | MS. DEBORAH B SHELL |
NPI Number: | 1881669935 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 068-0000498 |
Business Practice Address: | 107 Fisher Pond Rd St Albans, VT - 054786286 |
Business Phone Number: | 8025246555 |
Business Fax Number: | 8025246562 |
Mailing Address: | 561 Polly Hubbard Rd, ST ALBANS |
State: | VT |
Postal Code: | 054786044 |
Phone Number: | 8025249645 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |