Individual
MS. SHAWN RENE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 899-0033
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 899-0033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A18566
NC
101YP2500X
Professional Counselor
Primary
A18566
NC
Other
Enumeration date
03/15/2023
Last updated
03/29/2023
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