Individual
SHASTA MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117-5967
(704) 360-3049
Mailing address
106 SHELBURNE PL, MOORESVILLE, NC 28117-7306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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