Individual provider · Type 1 NPI
Jordan G. Shaw, LCPC
Mental Health Counselor · Augusta, ME
NPI number
1427665231
Active
Practice location
275 Northern Ave
Augusta, ME 04330-3928
Mailing address
93 Silver St Bldg 6
Waterville, ME 04901-5923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC7004 (ME) |
Mental Health Counselor: Definition to come...
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About NPI 1427665231
Jordan G. Shaw, LCPC's National Provider Identifier is 1427665231, issued on Sep 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Augusta, ME. The record was last updated on Jul 19, 2024.