Individual
MS. MICHELLE BLAIR SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1460 WALTON BLVD STE 60, ROCHESTER HILLS, MI 48309-1729
(248) 608-4514
Mailing address
1460 WALTON BLVD STE 60, ROCHESTER HILLS, MI 48309-1729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401224876
MI
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/10/2022
Last updated
03/06/2025
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