person
Shelly M Self, LPC
Mental Health Counselor in Ardmore, Oklahoma
NPI 1265706428

Shelly M Self is a Mental Health Counselor based in Madill, OK and is specialized in Mental Health. Shelly M Self practices in Ardmore, OK and has the professional credentials of LPC. The NPI Number for Shelly M Self is 1265706428 and holds a License No. (Oklahoma).

The current practice location address for Shelly M Self is 301 W Main St, Ardmore, OK and can be reached out via phone at 580-238-0506 and via fax at 580-238-0506.

Location: 301 W Main St, Ardmore, OK, 73446-9772
person
Provider Profile Details
NPI Number
1265706428
Provider Name
Shelly M Self
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
301 W Main St, Ardmore, OK, 73446-9772
Phone Number
580-238-0506
Fax Number
580-238-0506
Provider Enumeration Date
03/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200049040C 05 OK
institution
Provider Business Practice Location Address Details
Address
301 W Main St
City
State
Zip
73401-6337
Phone Number
580-238-0506
Fax Number
580-238-0506
person
Provider Business Mailing Address Details
Address
301 W Main St
City
State
Zip
73401-6337
Phone Number
580-238-0506
Fax Number
580-238-0506
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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