Individual provider · Type 1 NPI

Natasha Montez Shaw-Clark

Addiction (Substance Use Disorder) Counselor · Gardena, CA

NPI number 1013101278 Active

Practice location

130 W Victoria St
Gardena, CA 90248-3523

Fax (310) 715-6600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013101278

Natasha Montez Shaw-Clark's National Provider Identifier is 1013101278, issued on Aug 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Aug 30, 2007.