SHANE RYAN KELSEY

BURLEY, ID
NPI1659003697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-8949)
Enumeration Date2022-06-28
Last Update Date2022-06-28
Business Address
SHANE RYAN KELSEY MS, LPC
531 E 5TH ST
BURLEY, ID 83318-1469
Phone number: 208-678-3555
Mailing Address
SHANE RYAN KELSEY MS, LPC
622 DETTERS RD
TWIN FALLS, ID 83301-4991
Phone number: 208-219-2378
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