Individual provider · Type 1 NPI

Laura Shibut

Mental Health Counselor · Glen Allen, VA

NPI number 1639062987 Active

Practice location

4112 Innslake Dr
Glen Allen, VA 23060-3344

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704018051 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1639062987

Laura Shibut's National Provider Identifier is 1639062987, issued on Jun 3, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Allen, VA. The record was last updated on Jun 3, 2025.