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1528474970
KELLY NICOLE SHAH
SAN JOSE, CA
NPI
1528474970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 107969)
Enumeration Date
2014-07-07
Last Update Date
2024-12-31
Business Address
KELLY NICOLE SHAH M.A.
1340 TULLY RD SUITE 304
SAN JOSE, CA 95122-3055
Phone number: 408-271-3900
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Mailing Address
KELLY NICOLE SHAH M.A.
1811 SANTA RITA RD STE 224
PLEASANTON, CA 94566-4732
Phone number: 530-994-6428
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