Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE KELLY
Active Sole ProprietorSHANE KELLY is a Mental Health Counselor healthcare provider located in CAMERON PARK, California. NPI 1528479755 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CAMERON PARK, CA
Registration Details
- NPI Number
- 1528479755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2014 (12.250310509415 yrs)
- Last Updated
- May 9, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
3061 GARDEN CIRUNIT CCAMERON PARK, CA, 956828557Browse CA providers · Browse ZIP 95682
- Phone
- 5309030662
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CAMERON PARK, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSE-MARIE Y NIETO | LCSW | 1366671257 |
| MR. MILES JOSEPH COOK | M.S. | 1700699683 |
| NICOLE CAIN | AMFT | 1881565646 |
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.