Kylie Marie Shackelford
Kylie Marie Shackelford is a Counselor in Bend, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
61690 Pettigrew RdBend, OR 97702-2422
Phone: (541) 617-0377
Fax: (833) 776-0563
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1982492096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2025 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
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