Individual
MRS. MONICA RENEE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
887 NW GRANT AVE, CORVALLIS, OR 97330-4539
(541) 868-2004
(541) 868-2003
Mailing address
401 E 10TH AVE STE 330, EUGENE, OR 97401-3357
(541) 868-2004
(541) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178004386
IL
Other
Enumeration date
04/03/2015
Last updated
05/05/2020
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