| Ethel Shaw, | |
|
1110 E. High Street, Tucumcari, NM 88401 | |
| (575) 461-4411 | |
| (575) 461-4102 |
| Full Name | Ethel Shaw |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1110 E. High Street, Tucumcari, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethel Shaw, P.o. Box 28820, Santa Fe, NM 87592 Ph: () - | Ethel Shaw, 1110 E. High Street, Tucumcari, NM 88401 Ph: (575) 461-4411 |
Krystal R Tapia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Ann Largent, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 102 E High St, Tucumcari, NM 88401 Phone: 505-461-6200 Fax: 505-461-0404 | |
Robert Noel Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Ashley Ann Nolan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Jacqueline Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 Fax: 575-461-4102 | |
Vicky Laredo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 505-461-4411 |