person
Dr. Sidney L Shaw, LCPC
Professional Counselor in Missoula, Montana
NPI 1073689659

Sidney L Shaw is a Professional Counselor based in Missoula, MT and is specialized in Professional. Sidney L Shaw practices in Missoula, MT and has the professional credentials of LCPC. The NPI Number for Sidney L Shaw is 1073689659 and holds a License No. 398 (Montana).

The current practice location address for Sidney L Shaw is 725 Sw Higgins Ave Ste B, Missoula, MT and can be reached out via phone at 406-203-2150.

Location: 725 Sw Higgins Ave Ste B, Missoula, MT, 59803-1420
person
Provider Profile Details
NPI Number
1073689659
Provider Name
Sidney L Shaw
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
725 Sw Higgins Ave Ste B, Missoula, MT, 59803-1420
Phone Number
406-203-2150
Fax Number
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL3490 05 AK
institution
Provider Business Practice Location Address Details
Address
725 Sw Higgins Ave Ste B
City
State
Zip
59803-1420
Phone Number
406-203-2150
Fax Number
person
Provider Business Mailing Address Details
Address
725 Sw Higgins Ave Ste B
City
State
Zip
59803-1420
Phone Number
406-203-2150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1456 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
398 (Alaska)
Definition
Definition to come...
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