Individual
SHANA L DOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
7745 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-2442
(704) 995-0342
Mailing address
2223 WHITFORD LN, CHARLOTTE, NC 28210-4486
(704) 617-0950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12429A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12429A
NCBMFT
NC
Enumeration date
08/31/2022
Last updated
08/31/2022
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