Individual provider · Type 1 NPI

Myranda Jo Shaw

Mental Health Counselor · Burnsville, MN

NPI number 1801375423 Active

Practice location

1751 Southcross Dr W
Burnsville, MN 55306-7012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC01890

Mental Health Counselor: Definition to come...

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About NPI 1801375423

Myranda Jo Shaw's National Provider Identifier is 1801375423, issued on Aug 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burnsville, MN. The record was last updated on Aug 14, 2018.