Blount Shaw, Jayda Keyerra

Blount Shaw, Jayda Keyerra is an sole proprietor health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blount Shaw, Jayda Keyerra can be contacted via phone (415) 424-4266.

Contact Information

Primary practice address
10775 Pioneer Trl Ste 215 Truckee CA 96161-0234
Phone: (415) 424-4266
Fax: (415) 520-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADT1995 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC12586 Maryland

Profile Details

NPI number 1891349148
LBN Legal business name Blount Shaw, Jayda Keyerra
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Nov 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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