Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regina Donnette Shaw

Individual provider Professional Counselor · NPI 1760053813

Regina Donnette Shaw is a Professional Counselor in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

1720 W Florist Ave Ste 125
Glendale, WI 53209-3862
Phone: (414) 247-0801
Fax: (414) 247-0816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4981 (WI)

Record details

NPI number1760053813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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