Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Shane, LPCC

Individual provider Mental Health Counselor · NPI 1750546990

Kelly Marie Shane, LPCC is a Mental Health Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.

Licensed in
NM
In the registry since
2008
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

8416 Sonoma Valley Rd NE
Albuquerque, NM 87122-2626
Phone: (505) 459-4647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0162101 (NM)

Record details

NPI number1750546990
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJuly 28, 2008
Last updated in NPPESSeptember 2, 2016

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