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Organization
SHAW & ASSOCIATES, LLC
Active
Organization
SHAW & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRON NICOLE SHAW LPC, CSAC (CEO)
(804) 690-1879
Entity
Organization
Contact information
Practice address
7900 FORTRESS PL, RICHMOND, VA 23231-6958
(804) 690-1879
(804) 507-1782
Mailing address
7900 FORTRESS PL, RICHMOND, VA 23231-6958
(804) 690-1879
(804) 507-1782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102270
VA
101YM0800X
Mental Health Counselor
0701005005
VA
101YP2500X
Professional Counselor
Primary
0701005005
VA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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