person
Mr. Martin K Shaw, LPC,LMFT
Professional Counselor in Fort Worth, Texas
NPI 1215178926

Martin K Shaw is a Professional Counselor based in Wichita Falls, TX and is specialized in Professional. Martin K Shaw practices in Fort Worth, TX and has the professional credentials of LPC,LMFT. The NPI Number for Martin K Shaw is 1215178926 and holds a License No. 63283 (Texas).

The current practice location address for Martin K Shaw is 12650 N Beach St Ste 114, Fort Worth, TX and can be reached out via phone at 940-432-8631.

Location: 12650 N Beach St Ste 114, Fort Worth, TX, 76308-5312
person
Provider Profile Details
NPI Number
1215178926
Provider Name
Martin K Shaw
Credential
LPC,LMFT
Provider Entity Type
Individual
Gender
Male
Address
12650 N Beach St Ste 114, Fort Worth, TX, 76308-5312
Phone Number
940-432-8631
Fax Number
Provider Enumeration Date
03/11/2009
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200595102 05 TX
200595101 05 TX
institution
Provider Business Practice Location Address Details
Address
12650 N Beach St Ste 114
City
State
Zip
76244-4245
Phone Number
940-432-8631
Fax Number
person
Provider Business Mailing Address Details
Address
12650 N Beach St Ste 114
City
State
Zip
76244-4245
Phone Number
940-432-8631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
63283 (Texas)
Definition
Definition to come...
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