Jayda Keyerra Blount Shaw, LCPC
NPI #1891349148 in Truckee, California
Provider Information
- NPI Number
- 1891349148
- Entity Type
- Individual
- Name
- Jayda Keyerra Blount Shaw, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jul 25, 2019
- Last Updated
- Nov 6, 2022
Practice Location
- Address
- 10775 PIONEER TRL STE 215
- City
- Truckee
- State
- California
- ZIP Code
- 96161-0234
- Phone
- (415) 424-4266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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