Shaw, Jordan G

Shaw, Jordan G is an individual health care provider with primary practice located at 275 Northern Ave , Augusta ME 04330-3928. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Shaw, Jordan G can be contacted via phone (207) 402-4530.

Contact Information

Primary practice address
275 Northern Ave Augusta ME 04330-3928
Phone: (207) 402-4530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC7004 Maine

Profile Details

NPI number 1427665231
LBN Legal business name Shaw, Jordan G
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2020
Last updated Jul 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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