Most Relevant Information
Provider Data
| NPI Number: | 1003364969 |
| Provider Name: | MARVIN SHELTON ED.S, ED.D, RSAP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 9374 |
Most Important Dates
| Enumeration Date: | 09/20/2016 |
| Last Updated: | 09/19/2019 |
Provider Practice Location
6110 HOWDERSHELL RD
HAZELWOOD
MO
630421170
Practice Location Phone/Fax
| Phone: | 3149429499 |
| Fax: |
Provider Mailing Location
4166 LINDELL BLVD APT 1B
SAINT LOUIS
MO
631082923
Provider Mailing Phone/Fax
| Phone: | 3145803029 |
| Fax: |