IndividualActive
Audrey Shaw, M.S.
NPI 1790103224 · Professional Counselor · Brunswick, ME
Provider details
- NPI number
- 1790103224
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- License
- CC5017 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
16 Lincoln St
Brunswick, ME 04011-1900
Phone: (603) 883-0005
Approximate (ZIP-level) locationGet directions
Mailing address
123 Worthing Rd
Manchester, ME 04351-3234
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.