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Jason S Shaw
Counselor in Abilene, Texas
NPI 1043721376

Jason S Shaw is a Counselor based in Abilene, TX. Jason S Shaw practices in Abilene, TX. The NPI Number for Jason S Shaw is 1043721376 and holds a License No. 74762 (Texas).

The current practice location address for Jason S Shaw is 147 Sayles Blvd, Abilene, TX and can be reached out via phone at 325-437-1852 and via fax at 325-437-4082.

Location: 147 Sayles Blvd, Abilene, TX, 79601-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043721376
Provider Name
Jason S Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
147 Sayles Blvd, Abilene, TX, 79601-4554
Phone Number
325-437-1852
Fax Number
325-437-4082
Provider Enumeration Date
10/13/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74762 01 TX LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
147 Sayles Blvd
City
Abilene
State
Texas
Zip
79605-2001
Phone Number
325-437-1852
Fax Number
325-437-4082
person
Provider Business Mailing Address Details
Address
147 Sayles Blvd
City
Abilene
State
Texas
Zip
79605-2001
Phone Number
325-437-1852
Fax Number
325-437-4082
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
74762 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
74762 (Texas)
Definition
Definition to come...
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