person
Kelly Grace Shaw, MS,LPC,NCC
Counselor in Eugene, Oregon
NPI 1962068650

Kelly Grace Shaw is a Counselor based in Vida, OR. Kelly Grace Shaw practices in Eugene, OR and has the professional credentials of MS,LPC,NCC. The NPI Number for Kelly Grace Shaw is 1962068650 and holds a License No. (Oregon).

The current practice location address for Kelly Grace Shaw is 770 E 11Th Ave Fl Ssb2, Eugene, OR and can be reached out via phone at 458-205-7085 and via fax at 458-205-7089.

Location: 770 E 11Th Ave Fl Ssb2, Eugene, OR, 97488-0018
person
Provider Profile Details
NPI Number
1962068650
Provider Name
Kelly Grace Shaw
Credential
MS,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
770 E 11Th Ave Fl Ssb2, Eugene, OR, 97488-0018
Phone Number
458-205-7085
Fax Number
458-205-7089
Provider Enumeration Date
05/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
770 E 11Th Ave Fl Ssb2
City
State
Zip
97401-3746
Phone Number
458-205-7085
Fax Number
458-205-7089
person
Provider Business Mailing Address Details
Address
770 E 11Th Ave Fl Ssb2
City
State
Zip
97401-3746
Phone Number
458-205-7085
Fax Number
458-205-7089
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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