KYLIE SHACKELFORD
Counselor - Mental Health
Active
Individual
NPI: 1982492096
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1982492096 is the National Provider Identifier for KYLIE SHACKELFORD, a Counselor - Mental Health provider located in Bend, OR. This NPI was enumerated on April 28, 2025.
KYLIE SHACKELFORD practices at 61690 PETTIGREW RD, Bend, OR 97702.
Quick Facts
- NPI
- 1982492096
- Type
- Individual
- Enumerated
- Apr 28, 2025
- Last Updated
- Apr 28, 2025
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