Individual
LAKEISHA SHAMONE MCKNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS, LCAS, CCS
Contact information
Practice address
436 E LONG AVE STE 1, GASTONIA, NC 28054-2543
(704) 594-1454
Mailing address
436 E LONG AVE STE 1, GASTONIA, NC 28054-2543
(704) 594-1454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22657
NC
101YM0800X
Mental Health Counselor
9712
NC
101YP2500X
Professional Counselor
Primary
9712
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/30/2010
Last updated
04/29/2022
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