Individual provider · Type 1 NPI

Mackenzie Shaw, LPC INTERN

Professional Counselor · Denton, TX

NPI number 1972860757 Active

Practice location

207 W Hickory St Ste 106
Denton, TX 76201-4147

Call (972) 523-0000 Map

Mailing address

1704 Virginia Pl
Fort Worth, TX 76107-3976

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X67022 (TX)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1972860757

Mackenzie Shaw, LPC INTERN's National Provider Identifier is 1972860757, issued on Apr 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denton, TX. The record was last updated on Apr 18, 2012.