Whalio Doctors

NPI 1457819138

Kelly Shores, MALMFTLAC

Practitioner Marriage & Family Therapist Fortville, IN

Practice location

Address
415 W Broadway St, Fortville, IN 46040-1462
Phone
(317) 710-7772

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 35001781A (IN)

Registry record

NPI
1457819138
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Mar 2019
Record last updated
12 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.