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Individual

HASAN A ABDUSHAHID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(980) 229-8303
Mailing address
10216 CHATHAM RUN LN, CHARLOTTE, NC 28262-3075
(980) 229-8303

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
12/25/2023
Last updated
05/06/2025
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