MRS. Jackie L. Shaw, M.ED,, LPC, LMFT

NPI #1023212891 in Edmond, Oklahoma

Provider Information

NPI Number: 1023212891
Entity Type: Individual
Name: MRS. Jackie L. Shaw, M.ED,, LPC, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: M.ED,, LPC, LMFT
Enumeration Date: Jun 13, 2007
Last Updated: Jul 27, 2016

Practice Location

Address: 307 E DANFORTH RD
Address 2: SUITE 118
City: Edmond
State: Oklahoma
ZIP Code: 73034-4483
Phone: (405) 285-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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