Jeremiah Lawrence Shaw
Jeremiah Lawrence Shaw is a Mental Health Counselor in San Diego, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2155 Felspar St Apt 1San Diego, CA 92109-3624
Phone: (646) 251-2486
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1457542870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2007 |
| Last updated in NPPES | August 9, 2007 |
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