Individual provider · Type 1 NPI

Lynette A. Shaw

Mental Health Counselor · Roswell, GA

NPI number 1679303135 Active

Practice location

1125 Penny Ln
Roswell, GA 30076-3924

Mailing address

433 Highland Ave NE Apt 1007
Atlanta, GA 30312-1393

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679303135

Lynette A. Shaw's National Provider Identifier is 1679303135, issued on Aug 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roswell, GA. The record was last updated on Aug 7, 2024.