Dr. Sidney L. Shaw LCPC
Professional Counselor in Missoula, MT(View on Map)
Full Name
Dr. Sidney L Shaw LCPC
NPI Number
1073689659
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/27/2006
Specialties
(Taxonomies)Licenses
State
Alaska
Montana
License Number
398
1456
Contact
Information
Purpose
Mailing
Location
Address
725 SW HIGGINS AVE STE B
725 SW HIGGINS AVE STE B
City
Missoula
Missoula
State
MT
MT
Postal Code
59803-1420
59803-1420
Country
US
US
Telephone Number
(406) 203-2150
(406) 203-2150
Identifiers
Identifier
CL3490
Identifier State
AK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/04/2022