Individual provider · Type 1 NPI

Shelly Rose Keene

Mental Health Counselor · San Diego, CA

NPI number 1205359023 Active

Practice location

4394 30th St
San Diego, CA 92104-1314

Mailing address

5623 Sapphire Loop
Anchorage, AK 99504-6001

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X150415 (CA)
Mental Health Counselor Primary 101YM0800X150415 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1205359023

Shelly Rose Keene's National Provider Identifier is 1205359023, issued on Jul 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Nov 15, 2024.