Individual
MRS. MAKEBA SHARICE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
221 ELISHA DR, WILMINGTON, NC 28405-3855
(910) 233-0355
(910) 799-6263
Mailing address
221 ELISHA DR, WILMINGTON, NC 28405-3855
(910) 233-0355
(910) 799-6263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5591
NC
101YM0800X
Mental Health Counselor
5591
NC
101YP2500X
Professional Counselor
Primary
5591
NC
Other
Enumeration date
04/14/2007
Last updated
12/14/2009
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