Individual provider · Type 1 NPI

Jaclyn Shaw

Counselor · Astoria, NY

NPI number 1649511775 Active

Practice location

2534 Steinway St
Astoria, NY 11103-3702

Call (718) 777-5243 Map

Fax (718) 777-5250

Mailing address

41 Lion St
Staten Island, NY 10307-1367

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 1649511775

Jaclyn Shaw's National Provider Identifier is 1649511775, issued on Mar 14, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Astoria, NY. The record was last updated on Mar 14, 2013.