person
Mr. Paul E Shelley, MSW,LCSW
Mental Health Counselor in Elkhart, Indiana
NPI 1689703464

Paul E Shelley is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Paul E Shelley practices in Elkhart, IN and has the professional credentials of MSW,LCSW. The NPI Number for Paul E Shelley is 1689703464 and holds a License No. 34003756A (Indiana).

The current practice location address for Paul E Shelley is 1506 Osolo Rd, Elkhart, IN and can be reached out via phone at 574-523-3347 and via fax at 574-296-7560. You can also correspond with Paul E Shelley through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 1506 Osolo Rd, Elkhart, IN, 46617-1924
person
Provider Profile Details
NPI Number
1689703464
Provider Name
Paul E Shelley
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
1506 Osolo Rd, Elkhart, IN, 46617-1924
Phone Number
574-523-3347
Fax Number
574-296-7560
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000520385 01 IN ANTHEM BCBS #
institution
Provider Business Practice Location Address Details
Address
1506 Osolo Rd
City
State
Zip
46514-4122
Phone Number
574-523-3347
Fax Number
574-296-7560
person
Provider Business Mailing Address Details
Address
1506 Osolo Rd
City
State
Zip
46514-4122
Phone Number
574-523-3347
Fax Number
574-296-7560
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34003756A (Indiana)
Definition
Definition to come...
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