KELLY GRACE SHAW

EUGENE, OR
NPI1962068650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-05-17
Last Update Date2023-11-14
Business Address
KELLY GRACE SHAW MS, LPC, NCC
770 E 11TH AVE FL SSB2
EUGENE, OR 97401-3746
Phone number: 458-205-7085
Mailing Address
KELLY GRACE SHAW MS, LPC, NCC
PO BOX 18
VIDA, OR 97488-0018
Phone number: 541-771-1017