Individual provider · Type 1 NPI
Jacqueline Shaw, LPC
Professional Counselor · Rocky Mount, NC
NPI number
1689959694
Active
Practice location
633 Weathervane Way
Rocky Mount, NC 27803-8736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8086 (NC) |
Professional Counselor: Definition to come...
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About NPI 1689959694
Jacqueline Shaw, LPC's National Provider Identifier is 1689959694, issued on Oct 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rocky Mount, NC. The record was last updated on Oct 21, 2011.