Individual
MR. ROBERT T SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2528 GREGERSON DR, EAU CLAIRE, WI 54703-9680
(715) 828-6462
(715) 953-2020
Mailing address
2528 GREGERSON DR, EAU CLAIRE, WI 54703-9680
(715) 828-6462
(715) 953-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
511-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912098278
—
WI
Enumeration date
09/28/2006
Last updated
12/27/2023
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