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

FRREDERICK GARDINER SHAW, MS, LCPC

Active Sole Proprietor

FRREDERICK 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 36
AVON, IL, 46123
Browse 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.