Shane Kelly
NPI #1528479755 in Cameron Park, California
Provider Information
- NPI Number
- 1528479755
- Entity Type
- Individual
- Name
- Shane Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 9, 2014
- Last Updated
- May 9, 2014
Practice Location
- Address
- 3061 GARDEN CIR
- Address 2
- UNIT C
- City
- Cameron Park
- State
- California
- ZIP Code
- 95682-8557
- Phone
- (530) 903-0662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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|---|---|
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