Individual
CARLIE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W 3RD AVE, SUITE 103, ANCHORAGE, AK 99501-2236
(907) 279-9634
(907) 276-5489
Mailing address
509 W 3RD AVE, SUITE 103, ANCHORAGE, AK 99501-2236
(907) 279-9634
(907) 276-5489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/09/2012
Last updated
11/30/2016
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