Individual provider · Type 1 NPI
Alicia Kelso
Mental Health Counselor · Shallowater, TX
NPI number
1104730613
Active
Practice location
9603 N County Road 1300
Shallowater, TX 79363-2165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 72522 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 72522 (TX) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Shallowater
About NPI 1104730613
Alicia Kelso's National Provider Identifier is 1104730613, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shallowater, TX. The record was last updated on Oct 1, 2026.