Individual
ARTHUR SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDCC LL
Contact information
Practice address
658 E BRIER DR, SAN BERNARDINO, CA 92408-2880
(909) 252-5122
Mailing address
658 E BRIER DR STE 350658, SAN BERNARDINO, CA 92408-2880
(909) 252-5122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1107
CA
Other
Enumeration date
06/11/2019
Last updated
07/29/2022
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