person
Miss Mary M Shaw, LPC
Professional Counselor in Quincy, Illinois
NPI 1124210596

Mary M Shaw is a Professional Counselor based in Quincy, IL and is specialized in Professional. Mary M Shaw practices in Quincy, IL and has the professional credentials of LPC. The NPI Number for Mary M Shaw is 1124210596 and holds a License No. (Illinois).

The current practice location address for Mary M Shaw is 915 Vermont St, Quincy, IL and can be reached out via phone at 217-222-8245 and via fax at 217-222-4512.

Location: 915 Vermont St, Quincy, IL, 62301-3049
person
Provider Profile Details
NPI Number
1124210596
Provider Name
Mary M Shaw
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
915 Vermont St, Quincy, IL, 62301-3049
Phone Number
217-222-8245
Fax Number
217-222-4512
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000132022 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
915 Vermont St
City
State
Zip
62301-3049
Phone Number
217-222-8245
Fax Number
217-222-4512
person
Provider Business Mailing Address Details
Address
915 Vermont St
City
State
Zip
62301-3049
Phone Number
217-222-8245
Fax Number
217-222-4512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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