Kelsey Lynn Dennis Shave

NPI #1669352225 in Bloomington, Illinois

Provider Information

NPI Number: 1669352225
Entity Type: Individual
Name: Kelsey Lynn Dennis Shave
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 4, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 404 N HERSHEY RD STE C
City: Bloomington
State: Illinois
ZIP Code: 61704-3560
Phone: (877) 381-6538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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