Individual provider · Type 1 NPI
Kelly Grace Shaw, MS, LPC, NCC
Counselor · Eugene, OR
NPI number
1962068650
Active
Practice location
770 E 11th Ave Fl SSB2
Eugene, OR 97401-3746
Fax (458) 205-7089
Mailing address
PO Box 18
Vida, OR 97488-0018
Other practice locations
- 175 W B St, Springfield, OR 97477-4575 · (541) 762-1971
- 54771 Mckenzie Hwy, Blue River, OR 97413-9790 · (541) 771-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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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- Jenel S. Jorgensen, MACounselor Eugene, OR NPI 1013266022
- Destanie Lawann Keasha NielsenCounselor Eugene, OR NPI 1013343169
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About NPI 1962068650
Kelly Grace Shaw, MS, LPC, NCC's National Provider Identifier is 1962068650, issued on May 17, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eugene, OR. The record was last updated on Nov 14, 2023.