Individual provider · Type 1 NPI

Wellington (tony) Wilbert Shaw, PhD, NCP, CAPP, CART

Mental Health Counselor · Apopka, FL

NPI number 1659608909 Active

Practice location

3872 Long Branch Lane
Apopka, FL 32712-4790

Call (407) 880-8916 Map

Fax (407) 880-8916

Mailing address

3872 Long Branch Ln
Apopka, FL 32712-4790

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCAPP-320, NCP-01277 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1659608909

Wellington (tony) Wilbert Shaw, PhD, NCP, CAPP, CART's National Provider Identifier is 1659608909, issued on Nov 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Apopka, FL. The record was last updated on Nov 6, 2009.