Kelly Marie Shane LMFT

NPI 1750546990 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1750546990
Gender Female
Enumeration Date 07/28/2008
Last Updated 07/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2923 QUAIL POINTE DR NW
ALBUQUERQUE NM, 87120-6179, US
Phone (505) 459-4647
Fax
Business Location
2923 QUAIL POINTE DR NW
ALBUQUERQUE NM, 87120-6179, US
Phone (505) 459-4647
Fax
Toxanomy
Taxonomy Code 106H00000X
License State New Mexico
License Number 106H00000X
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According to our database, Kelly Marie Shane LMFT NPI is 1750546990, taxonomy code is 106H00000X and license number is 106H00000X, license state is located at New Mexico. Kelly Marie Shane LMFT physically located at 2923 Quail Pointe Dr Nw, Albuquerque NM, 87120-6179. NPI Number Kelly Marie Shane LMFT has the Individual type.

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1750546990 NPI number is provided on an as is basis without warranty of any kind. 1750546990 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Marie Shane LMFT are for informational purposes only.