Individual provider · Type 1 NPI
Kisheana Shaw, M.S.
Addiction (Substance Use Disorder) Counselor · Bronx, NY
NPI number
1265892673
Active
Practice location
804 E 138th St
Bronx, NY 10454-1902
Fax (718) 665-4768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265892673
Kisheana Shaw, M.S.'s National Provider Identifier is 1265892673, issued on Feb 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 26, 2016.