Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alicia Kelso

Individual provider Mental Health Counselor · NPI 1104730613

Alicia Kelso is a Mental Health Counselor in Shallowater, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
Specialties on file
2

Practice location Address checks out

9603 N County Road 1300
Shallowater, TX 79363-2165
Phone: (806) 620-0704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 72522 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 72522 (TX)

Record details

NPI number1104730613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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