Maria Shackelford
Counselor, Mental Health in Saint Louis, MO. Individual provider (NPI-1).
NPI number1982580353
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1982580353
- Entity type
- Individual (NPI-1)
- Name
- Maria Shackelford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2025
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3309 S Kingshighway BlvdSaint Louis, MO 63139-1101
Phone 314-206-3700
Mailing address
3309 S Kingshighway BlvdSaint Louis, MO 63139-1101
Phone 314-206-3700
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