person
Michael M Shaw, PHD,LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1659416626

Michael M Shaw is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Michael M Shaw practices in Jacksonville, FL and has the professional credentials of PHD,LMHC. The NPI Number for Michael M Shaw is 1659416626 and holds a License No. MH8792 (Florida).

The current practice location address for Michael M Shaw is 2156 Sequoia Ct, Jacksonville, FL and can be reached out via phone at 904-868-0534 and via fax at 904-868-0534.

Location: 2156 Sequoia Ct, Jacksonville, FL, 32218-0633
person
Provider Profile Details
NPI Number
1659416626
Provider Name
Michael M Shaw
Credential
PHD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
2156 Sequoia Ct, Jacksonville, FL, 32218-0633
Phone Number
904-868-0534
Fax Number
904-868-0534
Provider Enumeration Date
02/20/2007
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
767840100 05 FL
institution
Provider Business Practice Location Address Details
Address
2156 Sequoia Ct
City
State
Zip
32218-0633
Phone Number
904-868-0534
Fax Number
904-868-0534
person
Provider Business Mailing Address Details
Address
2156 Sequoia Ct
City
State
Zip
32218-0633
Phone Number
904-868-0534
Fax Number
904-868-0534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH8792 (Florida)
Definition
Definition to come...
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