Individual provider · Type 1 NPI
Susan Marie Shaw, LPC
Professional Counselor · Fenton, MI
NPI number
1679906879
Active
Practice location
127 North River Street
Fenton, MI 48430
Mailing address
6102 Westdale Dr
Grand Blanc, MI 48439-8512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 6401013785 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401224006 (MI) |
Professional Counselor: Definition to come...
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About NPI 1679906879
Susan Marie Shaw, LPC's National Provider Identifier is 1679906879, issued on Aug 12, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fenton, MI. The record was last updated on Jul 14, 2024.