Provider Demographics
NPI:1598851891
Name:JONES-SHELTON, AMANDA (MRC CRC LPC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:JONES-SHELTON
Suffix:
Gender:F
Credentials:MRC CRC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-3743
Mailing Address - Country:US
Mailing Address - Phone:479-274-7307
Mailing Address - Fax:877-328-9521
Practice Address - Street 1:413 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-3743
Practice Address - Country:US
Practice Address - Phone:479-264-7307
Practice Address - Fax:877-328-9521
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0901002101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor