| Christy Kelshaw | |
|
845 W Center St Suite C Pocatello ID 83204-4205 | |
| (208) 478-4642 | |
| (208) 232-8001 |
| Full Name | Christy Kelshaw |
|---|---|
| Speciality | Counselor - Professional |
| Location | 845 W Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Christy Kelshaw (COUNSELOR) |
| Authorized Official Contact | 2084784642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christy Kelshaw 845 W Center St Suite C Pocatello ID 83204-4205 Ph: (208) 478-4642 | Christy Kelshaw 845 W Center St Suite C Pocatello ID 83204-4205 Ph: (208) 478-4642 |
| NPI Number | 1871654798 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871654798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-2812 (Idaho) | Primary |
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