NPI 1790798130 · live from the CMS NPI Registry
Shawn Allen Brue, MMFT LPC LMFT
Marriage & Family Therapist in Lawton, OK. National Provider Identifier 1790798130, active.
NPI record
| NPI | 1790798130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5002 Sw Lee Blvd, Lawton, OK 73505 |
| Practice phone | 580-531-4512 |
| Enumerated | August 15, 2006 |
| Last updated | September 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | OK LPC 1266 (OK) |
| Marriage & Family Therapist primary | 106H00000X | OK LMFT 734 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.