Shelby Lynn Eason
Counselor in Tishomingo, OK. Individual provider (NPI-1).
NPI number1164044848
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1164044848
- Entity type
- Individual (NPI-1)
- Name
- Shelby Lynn Eason
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2020
- Certification date
- Jun 23, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
201 S Murray StTishomingo, OK 73460-2224
Phone 580-371-0321
Mailing address
8201 S Rock Creek LoopTishomingo, OK 73460-4419
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