Individual
SHASHEEN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 OFFICE COURT DRIVER, 102, SANTA FE, NM 87507
(505) 395-9437
Mailing address
369 MONTEZUMA AVE # 535, SANTA FE, NM 87501-2835
(970) 705-4561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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