Individual provider · Type 1 NPI
Ethel Shaw
Counselor · Tucumcari, NM
NPI number
1013215110
Active
Practice location
1110 E. High Street
Tucumcari, NM 88401
Fax (575) 461-4102
Mailing address
P.o. Box 28820
Santa Fe, NM 87592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1013215110
Ethel Shaw's National Provider Identifier is 1013215110, issued on Mar 14, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tucumcari, NM. The record was last updated on Mar 14, 2011.