person
Carrie Beth Shaw, LPC
Professional Counselor in Longview, Texas
NPI 1578780912

Carrie Beth Shaw is a Professional Counselor based in Longview, TX and is specialized in Professional. Carrie Beth Shaw practices in Longview, TX and has the professional credentials of LPC. The NPI Number for Carrie Beth Shaw is 1578780912 and holds a License No. 16092 (Texas).

The current practice location address for Carrie Beth Shaw is 208 Pine Tree Rd, Longview, TX and can be reached out via phone at 903-235-5862 and via fax at 903-295-3094.

Location: 208 Pine Tree Rd, Longview, TX, 75605-7407
person
Provider Profile Details
NPI Number
1578780912
Provider Name
Carrie Beth Shaw
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
208 Pine Tree Rd, Longview, TX, 75605-7407
Phone Number
903-235-5862
Fax Number
903-295-3094
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
177591801 05 TX
institution
Provider Business Practice Location Address Details
Address
208 Pine Tree Rd
City
State
Zip
75604-4104
Phone Number
903-235-5862
Fax Number
903-295-3094
person
Provider Business Mailing Address Details
Address
208 Pine Tree Rd
City
State
Zip
75604-4104
Phone Number
903-235-5862
Fax Number
903-295-3094
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16092 (Texas)
Definition
Definition to come...
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