Individual provider · Type 1 NPI

Noble Leon Shaver Jr., LPC CSAC II

Professional Counselor · Poplar Bluff, MO

NPI number 1215137997 Active

Practice location

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

Fax (573) 686-1029

Mailing address

PO Box 280
Poplar Bluff, MO 63902-0280

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2995 (MO)
Professional Counselor Primary 101YP2500X2006038624 (MO)

Professional Counselor: Definition to come...

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About NPI 1215137997

Noble Leon Shaver Jr., LPC CSAC II's National Provider Identifier is 1215137997, issued on Jul 20, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jan 21, 2009.