# GABRIELLE M SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316692692
- **Gender:** F
- **Credential:** PBT,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | IN | Yes |
| 101YM0800X | Mental Health Counselor | — | IN | — |
| 171M00000X | Case Manager/Care Coordinator | — | IN | — |
| 246RM2200X | Medical Laboratory Technician | — | IN | — |
| 246RP1900X | Phlebotomy Technician | 60512 | IN | — |
| 251B00000X | Case Management Agency | — | IN | — |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 03/28/2022