Individual
SHANNON M BATTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
2504 RAEFORD RD, STE A, FAYETTEVILLE, NC 28305-5294
(910) 860-9787
(910) 860-3903
Mailing address
2504 RAEFORD RD, STE A, FAYETTEVILLE, NC 28305-5294
(910) 860-9787
(910) 860-3903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1989
NC
101YP2500X
Professional Counselor
Primary
8112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112324
—
NC
Enumeration date
08/13/2010
Last updated
10/11/2012
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