Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorenzo Shaw, RAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639997919

Lorenzo Shaw, RAC is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

4104 Delta St
San Diego, CA 92113-4113
Phone: (619) 384-6760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24701 (CA)

Record details

NPI number1639997919
Entity typeIndividual (Type 1)
GenderMale
Credentials RAC
Sole proprietorYes
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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