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NPI Code Detail

MEDICARE: JESSICA LYNN SHELTON MS LMHP-R

MEDICARE: JESSICA LYNN SHELTON MS LMHP-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0704010469VA

General Provider Information

NPI Number : 1356095897
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN SHELTON MS LMHP-R
Provider Business Mailing Address
First Line : 220 CAMPUS BLVD STE 320
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2889
Country : US
Telephone Number : 540-536-5100
Fax Number : 540-536-0235
Provider Business Practice Location Address
First Line : 1840 AMHERST ST
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2808
Country : US
Telephone Number : 540-536-8000
Fax Number : 540-536-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 02/11/2026

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