Individual provider · Type 1 NPI

Jadie Marie Shaw, ALC

Mental Health Counselor · Enterprise, AL

NPI number 1417864471 Active

Practice location

805 E Lee St Ste C
Enterprise, AL 36330-2477

Mailing address

2394 County Road 13
Headland, AL 36345-8565

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XALC06153 (AL)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1417864471

Jadie Marie Shaw, ALC's National Provider Identifier is 1417864471, issued on Aug 25, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enterprise, AL. The record was last updated on Aug 25, 2026.