person
Mr. Tony C Shaw, LCPC
Mental Health Counselor in Glen Burnie, Maryland
NPI 1730791609

Tony C Shaw is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Tony C Shaw practices in Glen Burnie, MD and has the professional credentials of LCPC. The NPI Number for Tony C Shaw is 1730791609 and holds a License No. LC11938 (Maryland).

The current practice location address for Tony C Shaw is 102 6Th Ave Ne Ste B, Glen Burnie, MD and can be reached out via phone at 410-352-7514. You can also correspond with Tony C Shaw through the mailing address at 2814 W GARRISON AVE, BALTIMORE, MD - 21215-5335 (mailing address contact number: 443-629-5155).

Location: 102 6Th Ave Ne Ste B, Glen Burnie, MD, 21215-5335
person
Provider Profile Details
NPI Number
1730791609
Provider Name
Tony C Shaw
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
102 6Th Ave Ne Ste B, Glen Burnie, MD, 21215-5335
Phone Number
410-352-7514
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 6Th Ave Ne Ste B
City
State
Zip
21060-6869
Phone Number
410-352-7514
Fax Number
person
Provider Business Mailing Address Details
Address
102 6Th Ave Ne Ste B
City
State
Zip
21060-6869
Phone Number
410-352-7514
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC11938 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC11938 (Maryland)
Definition
Definition to come...
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