Individual provider · Type 1 NPI

Stephanie J. Shaw-Perry

Counselor · San Pablo, CA

NPI number 1508128042 Active

Practice location

2523 El Portal Dr
San Pablo, CA 94806-3305

Fax (510) 439-3129

Mailing address

3800 Coolidge Ave
Oakland, CA 94602-3311

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508128042

Stephanie J. Shaw-Perry's National Provider Identifier is 1508128042, issued on Jun 11, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Pablo, CA. The record was last updated on Jun 11, 2012.