Individual provider · Type 1 NPI

Shelby McKenzie Spade

Mental Health Counselor · Canby, OR

NPI number 1003586819 Active

Practice location

22018 S Central Point Rd
Canby, OR 97013-8705

Mailing address

4305 SE 59th Ave
Portland, OR 97206-3853

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003586819

Shelby McKenzie Spade's National Provider Identifier is 1003586819, issued on Sep 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canby, OR. The record was last updated on Sep 14, 2021.