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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK WILLIAM SHAW, ED.D., LMHC

Active

DR. JACK WILLIAM SHAW, ED.D., LMHC is a Mental Health Counselor healthcare provider located in ST PETERSBURG, Florida. NPI 1124623319 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ST PETERSBURG, FL

Registration Details

NPI Number
1124623319
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2020 (5.6688876528397 yrs)
Last Updated
Nov 2, 2022
Licenses
MCAP100243 (FL)
MH21197 (FL)

Practice Information

Address
1735 DR MLK JR STREET SOUTH
ST PETERSBURG, FL, 337052547
Browse FL providers · Browse ZIP 33705
Phone
7275020188
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in ST PETERSBURG, FL

Name Credential NPI
MRS. MIRIAM ASMAR BUNTON LCSW 1215927041
DR. CHRISTINA J. GONZALEZ LMHC 1114903069
MRS. DEBORAH K LEWIS LCSW 1235194564
DR. SUZANNE PFUND PERSONS PH.D. 1487604351
DR. LINDSAY EDWARD WILSON PHD 1376574095
LORE CALDWELL LCMH 1770517153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.