Individual provider · Type 1 NPI
Crystal Shaw, LCMHC, CRC
Mental Health Counselor · Rockingham, NC
NPI number
1972289122
Active
Practice location
107 Pinecrest Trl
Rockingham, NC 28379-7429
Mailing address
7620 Rivers Ave Ste 370
North Charleston, SC 29406-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 10482 (NC) |
| Professional Counselor | 101YP2500X | 10482 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 10482 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1972289122
Crystal Shaw, LCMHC, CRC's National Provider Identifier is 1972289122, issued on Jun 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockingham, NC. The record was last updated on Jun 23, 2023.