Individual provider · Type 1 NPI
Imani Shaw
Mental Health Counselor · Macon, GA
NPI number
1639543259
Active
Practice location
3985 Arkwright Rd Ste 106
Macon, GA 31210-1775
Fax (478) 474-0170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639543259
Imani Shaw's National Provider Identifier is 1639543259, issued on Nov 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, GA. The record was last updated on Nov 19, 2015.