Provider Demographics
NPI:1033304498
Name:EULER-BEAUDET, SHELLEY (LPCC)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:EULER-BEAUDET
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12813 BRYCE CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-4807
Mailing Address - Country:US
Mailing Address - Phone:505-275-8476
Mailing Address - Fax:
Practice Address - Street 1:12813 BRYCE CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-4807
Practice Address - Country:US
Practice Address - Phone:505-980-0142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional