Search › Indiana › 106H00000X

Kelly Shores, MA, LMFT, LAC

NPI 1457819138 · on the registry since 2019 · sole proprietor

Practice

Address
415 W Broadway St
Fortville, IN 46040
Phone
(317) 710-7772
Organisation at this address
Restoration Counseling
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana