Individual provider · Type 1 NPI

Timothy W. McShane, MA, LPC, CAACD, NCC

Mental Health Counselor · Grand Rapids, MI

NPI number 1407185077 Active

Practice location

516 Cherry St SE
Grand Rapids, MI 49503-4702

Fax (231) 347-9313

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401010843 (MI)
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407185077

Timothy W. McShane, MA, LPC, CAACD, NCC's National Provider Identifier is 1407185077, issued on Dec 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 7, 2013.