Individual provider · Type 1 NPI

Shane Ryan Kelsey, MS, LPC

Mental Health Counselor · Burley, ID

NPI number 1659003697 Active

Practice location

531 E 5th St
Burley, ID 83318-1469

Call (208) 678-3555 Map

Fax (208) 678-3556

Mailing address

622 Detters Rd
Twin Falls, ID 83301-4991

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-8949 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1659003697

Shane Ryan Kelsey, MS, LPC's National Provider Identifier is 1659003697, issued on Jun 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burley, ID. The record was last updated on Jun 28, 2022.