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Individual
COURTNEY SHAW
Active
Individual
COURTNEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16167
TX
101YP2500X
Professional Counselor
Primary
84676
TX
101YP2500X
Professional Counselor
BBH-LCPC-LIC72967
MT
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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