person
Jayda Keyerra Blount Shaw, LCPC
Professional Counselor in Truckee, California
NPI 1891349148

Jayda Keyerra Blount Shaw is a Professional Counselor based in Truckee, CA and is specialized in Professional. Jayda Keyerra Blount Shaw practices in Truckee, CA and has the professional credentials of LCPC. The NPI Number for Jayda Keyerra Blount Shaw is 1891349148 and holds a License No. ADT1995 (California).

The current practice location address for Jayda Keyerra Blount Shaw is 10775 Pioneer Trl Ste 215, Truckee, CA and can be reached out via phone at 415-424-4266 and via fax at 415-520-6633.

Location: 10775 Pioneer Trl Ste 215, Truckee, CA, 96161-0234
person
Provider Profile Details
NPI Number
1891349148
Provider Name
Jayda Keyerra Blount Shaw
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
10775 Pioneer Trl Ste 215, Truckee, CA, 96161-0234
Phone Number
415-424-4266
Fax Number
415-520-6633
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10775 Pioneer Trl Ste 215
City
State
Zip
96161-0234
Phone Number
415-424-4266
Fax Number
415-520-6633
person
Provider Business Mailing Address Details
Address
10775 Pioneer Trl Ste 215
City
State
Zip
96161-0234
Phone Number
415-424-4266
Fax Number
415-520-6633
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC12586 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
ADT1995 (Maryland)
Definition
Definition to come...
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