person
Mr. Martin K Shaw, LPC
Professional Counselor in Wichita Falls, 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 Wichita Falls, TX and has the professional credentials of LPC. 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 1808 Rose St, Wichita Falls, TX and can be reached out via phone at 940-723-4488 and via fax at 940-723-4490.

Location: 1808 Rose St, Wichita Falls, TX, 76301-4219
person
Provider Profile Details
NPI Number
1215178926
Provider Name
Martin K Shaw
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1808 Rose St, Wichita Falls, TX, 76301-4219
Phone Number
940-723-4488
Fax Number
940-723-4490
Provider Enumeration Date
03/11/2009
Last Update Date
03/09/2024
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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
1808 Rose St
City
State
Zip
76301-4219
Phone Number
940-723-4488
Fax Number
940-723-4490
person
Provider Business Mailing Address Details
Address
1808 Rose St
City
State
Zip
76301-4219
Phone Number
940-723-4488
Fax Number
940-723-4490
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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