Clubb, Shelly Fain
Clubb, Shelly Fain is an sole proprietor health care provider with primary practice located at 4611 Plettner Ln Suite 104, Evergreen CO 80439-7396. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clubb, Shelly Fain can be contacted via phone (720) 448-6925.Contact Information
Primary practice address
4611 Plettner Ln Suite 104
Evergreen CO 80439-7396
Phone: (720) 448-6925
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0011281 | Colorado |
Profile Details
NPI number | 1356687636 |
---|---|
LBN Legal business name | Clubb, Shelly Fain |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2012 |
Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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