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Individual
DR. SHAMANDA SHANTA BURSTON
Active
Individual
DR. SHAMANDA SHANTA BURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21626
NC
101YM0800X
Mental Health Counselor
Primary
18257
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18257
LCMHC
NC
01
—
LCAS-21626
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL BOARD
NC
Enumeration date
02/04/2015
Last updated
03/24/2026
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