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Willie Shaw JR., EDSMA
Counselor in Conway, South Carolina
NPI 1073535217

Willie Shaw JR. is a Counselor based in Myrtle Beach, SC. Willie Shaw JR. practices in Conway, SC and has the professional credentials of EDSMA. The NPI Number for Willie Shaw JR. is 1073535217 and holds a License No. (South Carolina).

The current practice location address for Willie Shaw JR. is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29577-6359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073535217
Provider Name
Willie Shaw JR.
Credential
EDSMA
Provider Entity Type
Individual
Gender
Male
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29577-6359
Phone Number
843-347-5060
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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