Kelly Shores, MA, LMFT, LAC

NPI #1457819138 in Fortville, Indiana

Provider Information

NPI Number: 1457819138
Entity Type: Individual
Name: Kelly Shores, MA, LMFT, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: MA, LMFT, LAC
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 415 W BROADWAY ST
City: Fortville
State: Indiana
ZIP Code: 46040-1462
Phone: (317) 710-7772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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