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JENESIS WYNETTE SHAW LPC NPI 1780106278


NPI Information

NPI: 1780106278
Provider Name: JENESIS WYNETTE SHAW, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1546 S BROWNLEE BLVD
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 886-6963
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Jenesis Wynette Shaw, LPC is a professional counselor in Corpus Christi, TX. Jenesis Wynette Shaw, LPC NPI is 1780106278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1546 S BROWNLEE BLVD
CORPUS CHRISTI, TX
ZIP 78404-142
Phone: (361) 886-6963

The enumeration date for this NPI number is 7/17/2017 and was last updated on 7/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional65438TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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