person
Jeremiah Lawrence Shaw
Mental Health Counselor in San Diego, California
NPI 1457542870

Jeremiah Lawrence Shaw is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Jeremiah Lawrence Shaw practices in San Diego, CA. The NPI Number for Jeremiah Lawrence Shaw is 1457542870 and holds a License No. (California).

The current practice location address for Jeremiah Lawrence Shaw is 2155 Felspar St, San Diego, CA and can be reached out via phone at 646-251-2486.

Location: 2155 Felspar St, San Diego, CA, 92109-3624
person
Provider Profile Details
NPI Number
1457542870
Provider Name
Jeremiah Lawrence Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
2155 Felspar St, San Diego, CA, 92109-3624
Phone Number
646-251-2486
Fax Number
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2155 Felspar St
City
State
Zip
92109-3624
Phone Number
646-251-2486
Fax Number
person
Provider Business Mailing Address Details
Address
2155 Felspar St
City
State
Zip
92109-3624
Phone Number
646-251-2486
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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