Individual
MS. MELISSA CAROL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2120 S MCCLINTOCK DR, SUITE #105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE, SUITE 735, TEMPE, AZ 85282-5691
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12401
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242887
—
AZ
Enumeration date
05/21/2007
Last updated
04/23/2017
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