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General NPI Number Information
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NPI Number | 1629648886
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Entity Type | Individual
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Provider Name | CHARLA JONELLE SHELLENBERGER LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 11643 SOLZMAN RD
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City | CINCINNATI
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State | OH
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Zip | 45249-1232
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Country | US
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Telephone | 513-530-2090
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Fax | 513-247-0850
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Provider Business Mailing Address
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Address Line | 11643 SOLZMAN RD
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City | CINCINNATI
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State | OH
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Zip | 45249-1232
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Country | US
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Telephone | 513-530-2090
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Fax | 513-247-0850
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E2505630
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License Number State | OH
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