Individual provider · Type 1 NPI
Sidney L. Shaw, LCPC
Professional Counselor · Missoula, MT
NPI number
1073689659
Active
Practice location
725 SW Higgins Ave Ste B
Missoula, MT 59803-1420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 398 (AK) |
| Professional Counselor Primary | 101YP2500X | 1456 (MT) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1073689659
Sidney L. Shaw, LCPC's National Provider Identifier is 1073689659, issued on Nov 27, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Oct 4, 2022.