Individual
MS. DIANA M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, RPT
Contact information
Practice address
820 S 75TH ST, OMAHA, NE 68114-4623
(402) 391-2477
Mailing address
820 S 75TH ST, OMAHA, NE 68114-4623
(402) 391-2477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4815
NE
101YM0800X
Mental Health Counselor
9017
NE
Other
Enumeration date
02/18/2011
Last updated
10/10/2016
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