Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLI D SHAW, LADAC
ActiveAddiction (Substance Use Disorder) Counselor · RUIDOSO, NM
Registration Details
- NPI Number
- 1487714382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2006 (19.359905250818 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3439 (NM)
Practice Information
- Address
-
100 WARRIOR DRIVERUIDOSO, NM, 88345Browse NM providers · Browse ZIP 88345
- Phone
- 5052584859
- Fax
- 5052583320
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RUIDOSO, NM
| Name | Credential | NPI |
|---|---|---|
| GARY GARLAND | LADAC,CS & CFAE | 1740341874 |
| JOHN BUFFINGTON | SA | 1780917757 |
| JASON L FERRELL | LADAC | 1558980763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.