Individual
JILL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Mailing address
1544 POWDER MILL LN, WYNNEWOOD, PA 19096-2615
(610) 247-3835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008172
PA
Other
Enumeration date
12/28/2015
Last updated
09/23/2025
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