Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYDA KEYERRA BLOUNT SHAW, LCPC
Active Sole ProprietorJAYDA KEYERRA BLOUNT SHAW, LCPC is a Professional Counselor healthcare provider located in TRUCKEE, California. NPI 1891349148 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · TRUCKEE, CA
Registration Details
- NPI Number
- 1891349148
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2019 (7.0134624484654 yrs)
- Last Updated
- Nov 6, 2022
- Licenses
-
ADT1995 (MD)LC12586 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10775 PIONEER TRL STE 215TRUCKEE, CA, 961610234Browse CA providers · Browse ZIP 96161
- Phone
- 4154244266
- Fax
- 4155206633
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in TRUCKEE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MAY DAWN MURRAY | LPC | 1194982678 |
| BONNI RAE FUNK | MA, LMHC, LPCC | 1730415605 |
| CONSUELO LIZET HERNANDEZ | MA, LPCC | 1770935264 |
| PEDRO GOMEZ CARRANZA | LPCC, M.ED., M.A. | 1740798404 |
| PHILIP RAYMOND ATALIG NEKAI | MS, LPCC | 1821572371 |
| KEVIN D WILLIAMS | MBA, MED, LPC | 1972146199 |
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.