Individual
JOIAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152A HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
152A HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
132
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132
MS DEPARTMENT OF MENTAL HEALTH CERTIFICATION
MS
Enumeration date
03/19/2015
Last updated
03/19/2015
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