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Individual
MRS. DIANA RACHEL SHAW
Active
Individual
MRS. DIANA RACHEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH18242
FL
101YM0800X
Mental Health Counselor
Primary
MH20309
FL
101YP2500X
Professional Counselor
IMH18242
FL
101YP2500X
Professional Counselor
MH20309
FL
101YS0200X
School Counselor
IMH18242
FL
101YS0200X
School Counselor
MH20309
FL
390200000X
Student in an Organized Health Care Education/Training Program
IMH18242
FL
Other
Enumeration date
12/02/2019
Last updated
03/02/2022
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