Search › California › 106H00000X
Ronald Shackelford, D.MIN., M.S., MFT
NPI 1457451924 · on the registry since 2006 · sole proprietor
Practice
- Address
- 23381 Saint Andrews
Mission Viejo, CA 92692 - Phone
- (949) 455-1017
- Fax
- (949) 472-4403
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California