# GLORIA CRANDELL-NELSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadows Community Support Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700909454
- **Authorized official:** MRS. GLORIA CRANDELL-NELSON (CEO)
- **Authorized official phone:** (252) 795-6662

## Contact information

- **Practice address:** 7356 US HIGHWAY 64, ROBERSONVILLE, NC 27871-9073
- **Practice address phone:** (252) 795-6662
- **Practice address fax:** (252) 795-6696
- **Mailing address:** 7356 HWY 64 E, ROBERSONVILLE, NC 27871-0278
- **Mailing address phone:** (252) 795-6662
- **Mailing address fax:** (252) 795-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NC | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 07/20/2010