Individual
MS. KELLY SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16929 HARVARD AVE, HAYWARD, CA 94541-1350
(510) 496-5140
(510) 496-5146
Mailing address
1290 26TH AVENUE, OAKLAND, CA 94601
(510) 496-5140
(510) 496-5146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0810281124
CA
Other
Enumeration date
06/09/2015
Last updated
02/28/2020
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