Individual
ANDREW MICHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LCMHC
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(919) 436-1817
(919) 578-5025
Mailing address
PMB 770, 4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14945
NC
Other
Enumeration date
05/21/2019
Last updated
06/21/2024
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