Individual
CASEY PATRICIA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
202 MAKINAW RD, HUTTO, TX 78634-2711
(860) 601-1245
Mailing address
202 MAKINAW RD, HUTTO, TX 78634-2711
(860) 601-1245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002405
CT
101YM0800X
Mental Health Counselor
Primary
—
TX
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2012
Last updated
02/06/2025
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