Provider Demographics
NPI:1760235592
Name:SHELTON, CASSANDRA DAWN (MS)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:DAWN
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:DAWN
Other - Last Name:SHELTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPC - ASSOCIATE
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-0938
Mailing Address - Country:US
Mailing Address - Phone:972-460-6864
Mailing Address - Fax:972-460-6813
Practice Address - Street 1:16980 DALLAS PKWY STE 204
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1910
Practice Address - Country:US
Practice Address - Phone:972-733-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional