Provider Demographics
NPI:1376093070
Name:SHELTON, DEBBIE L (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:L
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 991
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-0923
Mailing Address - Country:US
Mailing Address - Phone:360-375-0233
Mailing Address - Fax:360-583-5332
Practice Address - Street 1:82 WASHOUGAL RIVER RD STE 112
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-2377
Practice Address - Country:US
Practice Address - Phone:360-375-0233
Practice Address - Fax:360-583-5332
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health