Individual provider · Type 1 NPI

Michael Shaw, PCLC

Mental Health Counselor · Missoula, MT

NPI number 1073494936 Active

Practice location

415 N Higgins Ave
Missoula, MT 59802-4557

Mailing address

775 Monroe St Apt 22
Missoula, MT 59802-3754

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073494936

Michael Shaw, PCLC's National Provider Identifier is 1073494936, issued on Sep 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Missoula, MT. The record was last updated on Sep 9, 2025.