Individual
COLLETTE SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2418 S LAFAYETTE ST, SHELBY, NC 28152-7579
(704) 751-8862
Mailing address
2418 S LAFAYETTE ST, SHELBY, NC 28152-7579
(704) 751-8862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22922
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22922
NC
101YM0800X
Mental Health Counselor
Primary
13337
NC
251S00000X
Community/Behavioral Health Agency
20274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13337
NCBLCMHC
NC
01
—
LCAS-22922
NCSAPPB
NC
Enumeration date
11/10/2016
Last updated
06/23/2023
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