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Organization
SUPPORTIVE COUNSELING AND THERAPY, LLC
Active
Organization
SUPPORTIVE COUNSELING AND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SHAW LPC (OWNER)
(715) 895-8558
Entity
Organization
Contact information
Practice address
2153 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 895-8558
(715) 895-8559
Mailing address
2153 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 895-8558
(715) 895-8559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
04/07/2017
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