Individual provider · Type 1 NPI
Michael Jay Shaw, M.S., LPC
Professional Counselor · Milford, TX
NPI number
1356782791
Active
Practice location
3900 Bluebonnet Ln
Milford, TX 76670-1259
Fax (214) 245-5918
Mailing address
PO Box 131
Itasca, TX 76055-0131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 68698 (TX) |
Professional Counselor: Definition to come...
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About NPI 1356782791
Michael Jay Shaw, M.S., LPC's National Provider Identifier is 1356782791, issued on Jul 15, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milford, TX. The record was last updated on Jul 15, 2013.