Individual provider · Type 1 NPI

Tiffany Sheree Shaw, LCMHC, LPC, NCC, LCAS

Professional Counselor · Fort Lee, VA

NPI number 1063649374 Active

Practice location

700 24th St
Fort Lee, VA 23801-1716

Call (804) 734-9623 Map

Fax (804) 734-9188

Mailing address

946 Mockingbird Hill Rd
Raeford, NC 28376-6363

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2075 (NC)
Mental Health Counselor 101YM0800X7366 (NC)
Professional Counselor Primary 101YP2500X7366 (NC)

Professional Counselor: Definition to come...

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About NPI 1063649374

Tiffany Sheree Shaw, LCMHC, LPC, NCC, LCAS's National Provider Identifier is 1063649374, issued on Jun 12, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Lee, VA. The record was last updated on Jun 8, 2023.