Individual
MEGAN ELIZABETH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
1405 LILAC DR N STE 151, GOLDEN VALLEY, MN 55422-4536
(763) 525-1746
Mailing address
1405 LILAC DR N STE 151, GOLDEN VALLEY, MN 55422-4536
(763) 951-3097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303908
MN
106H00000X
Marriage & Family Therapist
Primary
2930
MN
Other
Enumeration date
02/07/2012
Last updated
07/12/2019
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