Individual provider · Type 1 NPI

Surilla Shaw

Professional Counselor · St. Louis, MO

NPI number 1275998965 Active

Practice location

9481 Yorktown Dr
St. Louis, MO 63137-1327

Call (314) 437-9028 Map

Mailing address

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Other practice locations

  • 1430 Olive St Ste 400, St. Louis, MO 63103-2303 · (314) 206-3700

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2012040739 (MO)

Professional Counselor: Definition to come...

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About NPI 1275998965

Surilla Shaw's National Provider Identifier is 1275998965, issued on Dec 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Feb 6, 2021.