Individual
KERRI RENAE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 W BLUE STARR DR STE 101, CLAREMORE, OK 74017-2869
(918) 760-2243
Mailing address
24655 S ELIZA DR, CLAREMORE, OK 74019-1856
(918) 760-2243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCANDIDATE11572
OK
101YP2500X
Professional Counselor
11572
OK
Other
Enumeration date
04/30/2024
Last updated
06/14/2025
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