Individual provider · Type 1 NPI

Kelly Anne Shaw, LCPC

Professional Counselor · Kalispell, MT

NPI number 1376723874 Active

Practice location

200 Heritage Way
Kalispell, MT 59901-3146

Mailing address

89 Tronstad Dr
Kalispell, MT 59901-6883

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1053 (MT)

Professional Counselor: Definition to come...

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About NPI 1376723874

Kelly Anne Shaw, LCPC's National Provider Identifier is 1376723874, issued on Nov 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalispell, MT. The record was last updated on Jun 30, 2020.