Individual provider · Type 1 NPI

Jason Shaw

Mental Health Counselor · Oakland, CA

NPI number 1104220342 Active

Practice location

1266 14th St
Oakland, CA 94607-2205

Fax (510) 583-8060

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104220342

Jason Shaw's National Provider Identifier is 1104220342, issued on Oct 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Oct 17, 2014.