person
Ms. Kelli D Shaw, LADAC
Addiction (Substance Use Disorder) Counselor in Ruidoso, New Mexico
NPI 1487714382

Kelli D Shaw is an Addiction (Substance Use Disorder) Counselor based in Ruidoso, NM and is specialized in Addiction (Substance Use Disorder). Kelli D Shaw practices in Ruidoso, NM and has the professional credentials of LADAC. The NPI Number for Kelli D Shaw is 1487714382 and holds a License No. 3439 (New Mexico).

The current practice location address for Kelli D Shaw is 100 Warrior Drive, Ruidoso, NM and can be reached out via phone at 505-258-4859 and via fax at 505-258-3320. You can also correspond with Kelli D Shaw through the mailing address at 1400 SUDDERTH DR, RUIDOSO, NM - 88345-6103 (mailing address contact number: 505-258-4859).

Location: 100 Warrior Drive, Ruidoso, NM, 88345-6103
person
Provider Profile Details
NPI Number
1487714382
Provider Name
Kelli D Shaw
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
100 Warrior Drive, Ruidoso, NM, 88345-6103
Phone Number
505-258-4859
Fax Number
505-258-3320
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Warrior Drive
City
State
Zip
88345
Phone Number
505-258-4859
Fax Number
505-258-3320
person
Provider Business Mailing Address Details
Address
100 Warrior Drive
City
State
Zip
88345
Phone Number
505-258-4859
Fax Number
505-258-3320
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3439 (New Mexico)
Definition
Definition to come...
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