Shelby Mckenzie Spade

NPI #1003586819 in Canby, Oregon

Provider Information

NPI Number: 1003586819
Entity Type: Individual
Name: Shelby Mckenzie Spade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 22018 S CENTRAL POINT RD
City: Canby
State: Oregon
ZIP Code: 97013-8705
Phone: (503) 221-4531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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