Individual provider · Type 1 NPI

Georgia Shaw

Mental Health Counselor · Oshkosh, WI

NPI number 1508928730 Active

Practice location

220 Washington Ave
Oshkosh, WI 54901-5030

Mailing address

PO Box 2187
Oshkosh, WI 54903-2187

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3052-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1508928730

Georgia Shaw's National Provider Identifier is 1508928730, issued on Dec 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 8, 2007.