Individual provider · Type 1 NPI

Tony C. Shaw, LCPC

Mental Health Counselor · Glen Burnie, MD

NPI number 1730791609 Active

Practice location

102 6th Ave NE Ste B
Glen Burnie, MD 21060-6869

Mailing address

2814 W Garrison Ave
Baltimore, MD 21215-5335

Other practice locations

  • 2814 W Garrison Ave, Baltimore, MD 21215-5335 · (443) 629-5155
  • 3202 Spaulding Ave, Baltimore, MD 21215-5811 · (443) 629-5515

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLC11938 (MD)
Mental Health Counselor Primary 101YM0800XLC11938 (MD)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1730791609

Tony C. Shaw, LCPC's National Provider Identifier is 1730791609, issued on Aug 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 1, 2022.