person
Mrs. Kelly Jo Shada, RN,LMHP
Mental Health Counselor in Kearney, Nebraska
NPI 1427190040

Kelly Jo Shada is a Mental Health Counselor based in Kearney, NE and is specialized in Mental Health. Kelly Jo Shada practices in Kearney, NE and has the professional credentials of RN,LMHP. The NPI Number for Kelly Jo Shada is 1427190040 and holds a License No. 423 (Nebraska).

The current practice location address for Kelly Jo Shada is 5205 2Nd Ave, Kearney, NE and can be reached out via phone at 308-236-7545 and via fax at 308-236-7545. You can also correspond with Kelly Jo Shada through the mailing address at 5205 2ND AVE, KEARNEY, NE - 68847-2471 (mailing address contact number: 308-236-7545).

Location: 5205 2Nd Ave, Kearney, NE, 68847-2471
person
Provider Profile Details
NPI Number
1427190040
Provider Name
Kelly Jo Shada
Credential
RN,LMHP
Provider Entity Type
Individual
Gender
Female
Address
5205 2Nd Ave, Kearney, NE, 68847-2471
Phone Number
308-236-7545
Fax Number
308-236-7545
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84306 01 NE BLUE CROSS BLUE SHIELD
25690 01 NE MIDLANDS CHOICE
institution
Provider Business Practice Location Address Details
Address
5205 2Nd Ave
City
State
Zip
68847-2471
Phone Number
308-236-7545
Fax Number
308-236-7545
person
Provider Business Mailing Address Details
Address
5205 2Nd Ave
City
State
Zip
68847-2471
Phone Number
308-236-7545
Fax Number
308-236-7545
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
423 (Nebraska)
Definition
Definition to come...
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