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NPI Code Detail

MEDICARE: CASSANDRA DAWN SHELTON MS

MEDICARE: CASSANDRA DAWN SHELTON MS
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
1101YP2500XProfessional Counselor94775TX

General Provider Information

NPI Number : 1760235592
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA DAWN SHELTON MS
Provider Business Mailing Address
First Line : PO BOX 938
Second Line :
City : ARGYLE
State : TX
Zip : 76226-0938
Country : US
Telephone Number : 972-460-6864
Fax Number : 972-460-6813
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-733-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 12/03/2025

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