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Micah Mckean Shaw
Mental Health Counselor in San Luis Obispo, California
NPI 1184270076

Micah Mckean Shaw is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Micah Mckean Shaw practices in San Luis Obispo, CA. The NPI Number for Micah Mckean Shaw is 1184270076 and holds a License No. (California).

The current practice location address for Micah Mckean Shaw is 1720 Bishop St, San Luis Obispo, CA and can be reached out via phone at 805-544-0801.

Location: 1720 Bishop St, San Luis Obispo, CA, 93401-4691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184270076
Provider Name
Micah Mckean Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 Bishop St, San Luis Obispo, CA, 93401-4691
Phone Number
805-544-0801
Fax Number
Provider Enumeration Date
08/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 Bishop St
City
San Luis Obispo
State
California
Zip
93401-4691
Phone Number
805-544-0801
Fax Number
person
Provider Business Mailing Address Details
Address
1720 Bishop St
City
San Luis Obispo
State
California
Zip
93401-4691
Phone Number
805-544-0801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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