Individual provider · Type 1 NPI

Regina Donnette Shaw

Professional Counselor · Glendale, WI

NPI number 1760053813 Active

Practice location

1720 W Florist Ave Ste 125
Glendale, WI 53209-3862

Fax (414) 247-0816

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4981 (WI)

Professional Counselor: Definition to come...

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About NPI 1760053813

Regina Donnette Shaw's National Provider Identifier is 1760053813, issued on Jul 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, WI. The record was last updated on Jul 8, 2021.