Organization
HOLLY SHAW PHD LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SHAW PHD (OWNER)
(970) 266-8062
Entity
Organization
Contact information
Practice address
2629 REDWING RD, SUITE 114, FORT COLLINS, CO 80526-6315
(970) 266-8062
(970) 266-8082
Mailing address
2629 REDWING RD, SUITE 114, FORT COLLINS, CO 80526-6315
(970) 266-8062
(970) 266-8082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO-4122
CO
Other
Enumeration date
02/28/2017
Last updated
05/01/2017
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