Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRREDERICK GARDINER SHAW, MS, LCPC
Active Sole ProprietorFRREDERICK GARDINER SHAW, MS, LCPC is a Mental Health Counselor healthcare provider located in AVON, Illinois. NPI 1770652224 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · AVON, IL
Registration Details
- NPI Number
- 1770652224
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.765523325875 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
6655 E. US 36AVON, IL, 46123Browse IL providers · Browse ZIP 46123
- Phone
- 3172723330
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.