Provider Demographics
NPI:1770011322
Name:SHELTON, DEBORAH K (MA, LPC, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MA, LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7931 W 55TH AVE
Mailing Address - Street 2:APT 301
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3711
Mailing Address - Country:US
Mailing Address - Phone:505-412-9366
Mailing Address - Fax:
Practice Address - Street 1:7931 W 55TH AVE
Practice Address - Street 2:APT 301
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3711
Practice Address - Country:US
Practice Address - Phone:505-412-9366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM81986777Medicaid