Individual provider · Type 1 NPI

Jenesis Wynette Shaw, LPC

Professional Counselor · Corpus Christi, TX

NPI number 1780106278 Active

Practice location

1546 S Brownlee Blvd
Corpus Christi, TX 78404-3142

Mailing address

1802 Ennis Joslin Rd Apt 115
Corpus Christi, TX 78412-4339

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X65438 (TX)

Professional Counselor: Definition to come...

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About NPI 1780106278

Jenesis Wynette Shaw, LPC's National Provider Identifier is 1780106278, issued on Jul 17, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Corpus Christi, TX. The record was last updated on Jul 17, 2017.