person
Kelly Nicole Shah, MA
Mental Health Counselor in San Jose, California
NPI 1528474970

Kelly Nicole Shah is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Kelly Nicole Shah practices in San Jose, CA and has the professional credentials of MA. The NPI Number for Kelly Nicole Shah is 1528474970 and holds a License No. (California).

The current practice location address for Kelly Nicole Shah is 1340 Tully Rd, San Jose, CA and can be reached out via phone at 408-271-3900 and via fax at 408-271-3909.

Location: 1340 Tully Rd, San Jose, CA, 95122-3055
person
Provider Profile Details
NPI Number
1528474970
Provider Name
Kelly Nicole Shah
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1340 Tully Rd, San Jose, CA, 95122-3055
Phone Number
408-271-3900
Fax Number
408-271-3909
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Tully Rd
City
State
Zip
95122-3055
Phone Number
408-271-3900
Fax Number
408-271-3909
person
Provider Business Mailing Address Details
Address
1340 Tully Rd
City
State
Zip
95122-3055
Phone Number
408-271-3900
Fax Number
408-271-3909
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88721 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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