Individual
CHERIE R SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC-M.S, QMHP
Contact information
Practice address
3529 DENTON HWY STE D, HALTOM CITY, TX 76117-3293
(817) 759-0707
(817) 759-0828
Mailing address
2100 N HWY 360 STE 1904, GRAND PRAIRIE, TX 75050-1040
(469) 460-7090
(469) 460-7091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17303
TX
Other
Enumeration date
12/13/2023
Last updated
09/18/2025
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