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Jayda Blount Shaw, LCPC
NPI 1891349148 · on the registry since 2019 · sole proprietor
Practice
- Address
- 10775 Pioneer Trl Ste 215
Truckee, CA 96161 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- Organisation at this address
- Gregory Faldowski O D
Telehealth Services Usa
Telehealth Services Usa
Crows Nest Ranch Outpatient LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 123
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-06
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 California