Tia D Shaw, BHP

NPI #1346674124 in Caribou, Maine

Provider Information

NPI Number: 1346674124
Entity Type: Individual
Name: Tia D Shaw, BHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BHP
Enumeration Date: Aug 28, 2013
Last Updated: Aug 20, 2014

Practice Location

Address: 24 SWEDEN ST
Address 2: SUITE 201
City: Caribou
State: Maine
ZIP Code: 04736-2127
Phone: (207) 493-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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