Individual provider · Type 1 NPI

Micah McKean Shaw

Mental Health Counselor · San Luis Obispo, CA

NPI number 1184270076 Active

Practice location

1720 Bishop St
San Luis Obispo, CA 93401-4691

Call (805) 544-0801 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184270076

Micah McKean Shaw's National Provider Identifier is 1184270076, issued on Aug 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 15, 2019.