Shaw, Rebecca

Shaw, Rebecca is an sole proprietor health care provider with primary practice located at 108 E Ponce De Leon Ave Suite 208, Decatur GA 30030-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shaw, Rebecca can be contacted via phone (678) 595-0036.

Contact Information

Primary practice address
108 E Ponce De Leon Ave Suite 208 Decatur GA 30030-2512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC002857 Georgia

Profile Details

NPI number 1922346253
LBN Legal business name Shaw, Rebecca
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2013
Last updated Jan 22nd, 2013 - about 13 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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