SHAYNE THOMAS KELLEY

THOUSAND OAKS, CA
NPI1063878130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2016-01-05
Last Update Date2024-04-25
Business Address
Mr. SHAYNE THOMAS KELLEY
187 E WILBUR RD STE 14
THOUSAND OAKS, CA 91360-7938
Phone number: 818-253-4150
Mailing Address
Mr. SHAYNE THOMAS KELLEY
187 E WILBUR RD STE 14
THOUSAND OAKS, CA 91360-7938
Phone number: 818-253-4150
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