Fredrick Shaw is a Peer Specialist based in Houston, TX. Fredrick Shaw practices in Houston, TX. The NPI Number for Fredrick Shaw is 1346787819 and holds a License No. (Texas).
The current practice location address for Fredrick Shaw is 10333 Northwest Fwy, Houston, TX and can be reached out via phone at 832-335-0633.
Location: 10333 Northwest Fwy, Houston, TX, 77092-8235
Provider Profile Details
NPI Number
1346787819
Provider Name
Fredrick Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
10333 Northwest Fwy, Houston, TX, 77092-8235
Phone Number
832-335-0633
Fax Number
Provider Enumeration Date
01/23/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175T000000X | 01 | TX | PEER SPECIALIST |
Provider Business Practice Location Address Details
Address
10333 Northwest Fwy
City
State
Zip
77092-8235
Phone Number
832-335-0633
Fax Number
Provider Business Mailing Address Details
Address
10333 Northwest Fwy
City
State
Zip
77092-8235
Phone Number
832-335-0633
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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