Kasey Shockey

NPI #1083031710 in Salem, Oregon

Provider Information

NPI Number: 1083031710
Entity Type: Individual
Name: Kasey Shockey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 19, 2014
Last Updated: Mar 19, 2014

Practice Location

Address: 2645 PORTLAND RD NE
Address 2: SUITE 120
City: Salem
State: Oregon
ZIP Code: 97301-0198
Phone: (500) 339-0563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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