Individual provider · Type 1 NPI
Kelli D. Shaw, LADAC
Addiction (Substance Use Disorder) Counselor · Ruidoso, NM
NPI number
1487714382
Active
Practice location
100 Warrior Drive
Ruidoso, NM 88345
Fax (505) 258-3320
Mailing address
1400 Sudderth Dr
Ruidoso, NM 88345-6103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3439 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Ruidoso
- Sara Leslie Chapman, LSAAAddiction (Substance Use Disorder) Counselor Ruidoso, NM NPI 1104763283
- Jason L. Ferrell, LADACAddiction (Substance Use Disorder) Counselor Ruidoso, NM NPI 1558980763
- Gary Garland, LADAC, CS & CFAEAddiction (Substance Use Disorder) Counselor Ruidoso, NM NPI 1740341874
- John Buffington, SAAddiction (Substance Use Disorder) Counselor Ruidoso, NM NPI 1780917757
About NPI 1487714382
Kelli D. Shaw, LADAC's National Provider Identifier is 1487714382, issued on Dec 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ruidoso, NM. The record was last updated on Jul 8, 2007.