Individual
MR. ANDREW JAMES SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
3527 OCEAN VIEW BLVD, GLENDALE, CA 91208-1211
(323) 450-6630
Mailing address
3527 OCEAN VIEW BLVD, GLENDALE, CA 91208-1211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC47004
CA
Other
Enumeration date
03/08/2007
Last updated
06/28/2010
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