Individual
KATHLEEN MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6408
(337) 373-0002
(337) 373-0129
Mailing address
1090 RUSTY RD LOT 18, BREAUX BRIDGE, LA 70517-8427
(337) 277-0532
(337) 237-2083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6700
LA
101YP2500X
Professional Counselor
Primary
PLC6700
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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