Individual provider · Type 1 NPI
Jeffrey Shaw, CRC, LCASA
Addiction (Substance Use Disorder) Counselor · Winston Salem, NC
NPI number
1730577073
Active
Practice location
3098 Glen Laurel Ln
Winston Salem, NC 27107-4454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20257 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730577073
Jeffrey Shaw, CRC, LCASA's National Provider Identifier is 1730577073, issued on Jan 8, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 8, 2015.