Individual
STEPHEN J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-2020
Mailing address
4266 W MAIN ST STE 110, GRAY, LA 70359-6421
(985) 859-5526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6108
LA
Other
Enumeration date
10/18/2017
Last updated
04/11/2024
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