Search › Wyoming › 175T00000X
Jacob Shaw
NPI 1396513719 · on the registry since 2023
Practice
- Address
- 116 South 3rd Street
Basin, WY 82410 - Phone
- (307) 568-2020
- Organisation at this address
- Cloud Peak Counseling Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming