Individual
KELLI SPESSARD SHOAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7792
Mailing address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6569
ID
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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