Individual
SHANNON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1432 E SEVENTH STREET, CHARLOTTE, NC 28204
(704) 334-0524
Mailing address
1925 E 7TH ST APT 320, CHARLOTTE, NC 28204-2564
(412) 523-2087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15264
NC
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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