NPI 1003297821

Brittani Shaw

Practitioner Mental Health Counselor Grand Rapids, MI

Practice location

Address: 901 Eastern Ave NE, Grand Rapids, MI 49503-1201
Phone: (616) 818-4803
Fax: (616) 710-5176

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6401013688 (MI)

Other Counselor providers in Michigan →

Registry record

NPI: 1003297821
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2015
Record last updated: 17 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.