| Kimberly Shaw, Mft | |
|
140 Mayhew Way Ste 300 Pleasant Hill CA 94523-4398 | |
| (510) 495-4217 | |
| Not Available |
| Full Name | Kimberly Shaw, Mft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 Mayhew Way Ste 300, Pleasant Hill, California |
| Authorized Official Name and Position | Kimberly Scott Shaw (DIRECTOR) |
| Authorized Official Contact | 5104954217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Shaw, Mft 1611 Sycamore Ave Unit 5632 Hercules CA 94547-6027 Ph: (510) 495-4217 | Kimberly Shaw, Mft 140 Mayhew Way Ste 300 Pleasant Hill CA 94523-4398 Ph: (510) 495-4217 |
| NPI Number | 1063142354 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063142354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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