Charlett Shaw
NPI #1275165409 in Burbank, California
Provider Information
- NPI Number
- 1275165409
- Entity Type
- Individual
- Name
- Charlett Shaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 5, 2020
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 1201 S VICTORY BLVD STE 206
- City
- Burbank
- State
- California
- ZIP Code
- 91502-2552
- Phone
- (310) 853-3638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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