JAYDA KEYERRA BLOUNT SHAW LCPC NPI 1891349148

NPI Information

NPI: 1891349148
Provider Name: JAYDA KEYERRA BLOUNT SHAW, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
10775 PIONEER TRL STE 215
TRUCKEE, CA
ZIP 96161
Phone: (415) 424-4266
Get Directions

Jayda Keyerra Blount Shaw, LCPC is a professional counselor in Truckee, CA. Jayda Keyerra Blount Shaw, LCPC NPI is 1891349148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10775 PIONEER TRL STE 215
TRUCKEE, CA
ZIP 96161-234
Phone: (415) 424-4266
Fax: (415) 520-6633

The enumeration date for this NPI number is 7/25/2019 and was last updated on 11/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ADT1995	MARYLAND	No
2	101YP2500X	Counselor	Professional	LC12586	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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