Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ronald Conway Shackelford, DMIN, MS, MFT

Individual provider Marriage & Family Therapist · NPI 1457451924

Dr. Ronald Conway Shackelford, DMIN, MS, MFT is a Marriage & Family Therapist in Mission Viejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

23381 Saint Andrews
Mission Viejo, CA 92692
Phone: (949) 455-1017
Fax: (949) 472-4403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFT #36608 (CA)

Record details

NPI number1457451924
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN , MS , MFT
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007

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