Individual provider · Type 1 NPI

Marlisa Monae Shaw

Professional Counselor · New Haven, CT

NPI number 1053104802 Active

Practice location

458 Grand Ave
New Haven, CT 06513-3856

Mailing address

151 Putnam St
New Haven, CT 06519-2329

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8405 (CT)

Professional Counselor: Definition to come...

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About NPI 1053104802

Marlisa Monae Shaw's National Provider Identifier is 1053104802, issued on May 26, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Haven, CT. The record was last updated on May 26, 2025.