MEDICARE: SHARONNA SHELTON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	103K00000X	Behavior Analyst
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1427333665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARONNA SHELTON

Provider Business Mailing Address
First Line	:	1200 W CHEYENNE AVE #2018
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030
Country	:	US
Telephone Number	:	702-366-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W CHEYENNE AVE #2018
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030
Country	:	US
Telephone Number	:	702-366-3727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	11/02/2011

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Directions to “ SHARONNA SHELTON ” Practice Location

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