person
Shane Kelly
Mental Health Counselor in Cameron Park, California
NPI 1528479755

Shane Kelly is a Mental Health Counselor based in Cameron Park, CA and is specialized in Mental Health. Shane Kelly practices in Cameron Park, CA. The NPI Number for Shane Kelly is 1528479755 and holds a License No. (California).

The current practice location address for Shane Kelly is 3061 Garden Cir, Cameron Park, CA and can be reached out via phone at 530-903-0662.

Location: 3061 Garden Cir, Cameron Park, CA, 95682-8557
person
Provider Profile Details
NPI Number
1528479755
Provider Name
Shane Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3061 Garden Cir, Cameron Park, CA, 95682-8557
Phone Number
530-903-0662
Fax Number
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3061 Garden Cir
City
State
Zip
95682-8557
Phone Number
530-903-0662
Fax Number
person
Provider Business Mailing Address Details
Address
3061 Garden Cir
City
State
Zip
95682-8557
Phone Number
530-903-0662
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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