Individual
MR. PARAMOUNT LEE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/MASTERS
Contact information
Practice address
5500 EXECUTIVE CENTER DR STE 106, CHARLOTTE, NC 28212-8851
(864) 862-7384
(980) 224-7948
Mailing address
815 HELLAMS ST, FOUNTAIN INN, SC 29644-9445
(864) 862-7384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5462
SC
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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