Individual
KRISTIN M. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
414 E WALNUT ST STE 210, GREEN BAY, WI 54301-5020
(920) 455-0925
(920) 455-0925
Mailing address
228 GARFIELD ST, GREEN BAY, WI 54303-1919
(920) 217-7612
(920) 455-0925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
06/08/2019
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