Individual provider · Type 1 NPI

Kellyanne Shaw

Counselor · Bowling Green, KY

NPI number 1558117002 Active

Practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Call (270) 901-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558117002

Kellyanne Shaw's National Provider Identifier is 1558117002, issued on Apr 25, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bowling Green, KY. The record was last updated on Apr 25, 2024.