Individual
KRISTI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S 1470 E STE 104, ST GEORGE, UT 84790
(435) 429-1055
Mailing address
107 S 1470 E STE 104, ST GEORGE, UT 84790-1749
(435) 429-1055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69850106004
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2013
Last updated
05/24/2018
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