Individual
HOLLY ELIZABETH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
1400 MACLOVIA ST STE 1, SANTA FE, NM 87505-3253
(505) 772-0459
Mailing address
1401 MACLOVIA ST STE 1, SANTA FE, NM 87505-3292
(505) 772-0459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4122
LPC
CO
Enumeration date
05/14/2007
Last updated
11/20/2023
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