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

Shane Kelly

Individual provider Mental Health Counselor · NPI 1528479755

Shane Kelly is a Mental Health Counselor in Cameron Park, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

3061 Garden Cir Unit C
Cameron Park, CA 95682-8557
Phone: (530) 903-0662
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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

Record details

NPI number1528479755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014
Mailing address3061 Garden Cir, Unit C, Cameron Park, CA 95682-8557

Other providers in Cameron Park