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

Micah McKean Shaw

Individual provider Mental Health Counselor · NPI 1184270076

Micah McKean Shaw is a Mental Health Counselor in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1720 Bishop St
San Luis Obispo, CA 93401-4691
Phone: (805) 544-0801
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (CA)

Record details

NPI number1184270076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

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