Most Relevant Information
Provider Data
| NPI Number: | 1003255704 |
| Provider Name: | KRISSIE L SHELLS MHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2013 |
| Last Updated: | 06/17/2013 |
Provider Practice Location
252 MANOR ST
MARION
AR
723641936
Practice Location Phone/Fax
| Phone: | 8707396818 |
| Fax: | 8707396821 |
Provider Mailing Location
252 MANOR ST
MARION
AR
723641936
Provider Mailing Phone/Fax
| Phone: | 8707396818 |
| Fax: | 8707396821 |