Individual provider · Type 1 NPI
Tyesha Shaw
Mental Health Counselor · Disputanta, VA
NPI number
1023724762
Active
Practice location
11321 Walton Lake Rd
Disputanta, VA 23842-4510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7094-07-006 (VA) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Disputanta
About NPI 1023724762
Tyesha Shaw's National Provider Identifier is 1023724762, issued on Jan 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Disputanta, VA. The record was last updated on Jan 26, 2023.