Individual
MR. JEFFRY S SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
1923 J N PEASE PL STE 204, CHARLOTTE, NC 28262-4535
(704) 503-3535
Mailing address
10734 SPRUCE KNOB LN, CHARLOTTE, NC 28214-8632
(704) 608-6919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3328
NC
Other
Enumeration date
05/21/2007
Last updated
09/09/2009
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