Organization
ICAN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M BATTLE MA (DIRECTOR/CEO)
(910) 860-9787
Entity
Organization
Contact information
Practice address
6112 LOUISE ST, FAYETTEVILLE, NC 28314-2719
(910) 860-9787
(910) 860-3903
Mailing address
PO BOX 25433, FAYETTEVILLE, NC 28314-5007
(910) 860-3903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5518
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NC
Enumeration date
11/04/2009
Last updated
02/23/2010
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