Individual
MS. MAHAGONY ANN SHADA GARRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS-A
Contact information
Practice address
410 N GREENSBORO ST STE 220, CARRBORO, NC 27510-1870
(919) 966-9803
Mailing address
410 N GREENSBORO ST STE 220, CARRBORO, NC 27510-1870
(919) 966-9803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28639
NC
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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