Individual
SHANNON PANTELLO ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
145 SCALEYBARK RD STE B, CHARLOTTE, NC 28209
(704) 567-8690
Mailing address
935 FORBES RD, FORT MILL, SC 29707-5524
(704) 771-9322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8041
NC
101YP2500X
Professional Counselor
Primary
8041
NC
Other
Enumeration date
06/02/2011
Last updated
07/12/2018
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