Individual provider · Type 1 NPI
Latonya Denise Shaw, M.S
Mental Health Counselor · Fort Pierce, FL
NPI number
1033419361
Active
Practice location
405 Seafoam Cir
Fort Pierce, FL 34945-1203
Mailing address
PO Box 881147
Port St. Lucie, FL 34988-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MH22407 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1033419361
Latonya Denise Shaw, M.S's National Provider Identifier is 1033419361, issued on Nov 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Aug 2, 2023.