Shelton, Charles J

Shelton, Charles J is an individual health care provider with primary practice located at 224 Great Bridge Blvd Chesapeake Comm Serv Board, Chesapeake VA 23320. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shelton, Charles J can be contacted via phone (757) 547-9334.

Contact Information

Primary practice address
224 Great Bridge Blvd Chesapeake Comm Serv Board Chesapeake VA 23320
Phone: (757) 547-9334
Fax: (757) 819-6292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701000523 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000221 Virginia

Profile Details

NPI number 1144393422
LBN Legal business name Shelton, Charles J
Credentials LPC PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 24th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144393422 NPPES
Virginia Other 083108 SENTARA
Virginia Other 238960 SENTARA

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