Individual provider · Type 1 NPI

Kati-Lynne Shaw

Addiction (Substance Use Disorder) Counselor · Enfield, CT

NPI number 1134549454 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (860) 253-5020 Map

Fax (860) 253-5030

Mailing address

391 Pomfret St
Putnam, CT 06260-1852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134549454

Kati-Lynne Shaw's National Provider Identifier is 1134549454, issued on Apr 25, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enfield, CT. The record was last updated on Jul 21, 2022.