Individual
CHRISTINA MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
(440) 918-3839
Mailing address
38882 MENTOR AVE., MENTOR, OH 44094
(440) 953-9999
(440) 918-3839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0004161
OH
Other
Enumeration date
05/18/2016
Last updated
01/10/2022
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