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Individual
REBECCA JANEL SHAW
Active
Individual
REBECCA JANEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00007673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279496
MANAGED HEALTHCARE NETWOR
WA
01
—
7065CL
ASURIS NORTHWEST
WA
01
—
910564952
PREMERA
WA
01
—
91056495299201A011
TRICARE
WA
Enumeration date
08/25/2006
Last updated
03/08/2016
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