| M & K Shelton, Licensed Clinical Social Worker, Inc | |
|
1212 Suncast Ln El Dorado Hills CA 95762-9685 | |
| (413) 522-9629 | |
| Not Available |
| Full Name | M & K Shelton, Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1212 Suncast Ln, El Dorado Hills, California |
| Authorized Official Name and Position | Mark Shelton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4135229629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & K Shelton, Licensed Clinical Social Worker, Inc 161 Hopfield Dr Folsom CA 95630-8062 Ph: (413) 522-9629 | M & K Shelton, Licensed Clinical Social Worker, Inc 1212 Suncast Ln El Dorado Hills CA 95762-9685 Ph: (413) 522-9629 |
| NPI Number | 1770176141 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770176141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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