| Kerry Corven Shell | |
|
3201 Shamrock St S Suite 103 Tallahassee FL 32309-3321 | |
| (850) 509-5808 | |
| Not Available |
| Full Name | Kerry Corven Shell |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3201 Shamrock St S, Tallahassee, Florida |
| Authorized Official Name and Position | Kerry Corven Shell (OWNER) |
| Authorized Official Contact | 8505095808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Corven Shell 3201 Shamrock St S Suite 103 Tallahassee FL 32309-3321 Ph: (850) 509-5808 | Kerry Corven Shell 3201 Shamrock St S Suite 103 Tallahassee FL 32309-3321 Ph: (850) 509-5808 |
| NPI Number | 1851638951 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851638951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 11571 (Florida) | Primary |
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