KELLY MARIE SHANE

ALBUQUERQUE, NM
NPI1750546990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0162101)
Enumeration Date2008-07-28
Last Update Date2016-09-02
Business Address
-- KELLY MARIE SHANE LPCC
8416 SONOMA VALLEY RD NE
ALBUQUERQUE, NM 87122-2626
Phone number: 505-459-4647
Mailing Address
-- KELLY MARIE SHANE LPCC
8416 SONOMA VALLEY RD NE
ALBUQUERQUE, NM 87122
Phone number: 505-459-4647
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