Individual provider · Type 1 NPI
Kelly Shelby
Professional Counselor · Hayward, CA
NPI number
1902287543
Active
Practice location
16929 Harvard Ave
Hayward, CA 94541-1350
Fax (510) 496-5146
Mailing address
1290 26th Avenue
Oakland, CA 94601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P0810281124 (CA) |
Professional Counselor: Definition to come...
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About NPI 1902287543
Kelly Shelby's National Provider Identifier is 1902287543, issued on Jun 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hayward, CA. The record was last updated on Feb 28, 2020.