Individual
SHAWNTEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LCAS-A
Contact information
Practice address
207 S WESTGATE DR STE G-J, GREENSBORO, NC 27407-1675
(336) 273-9611
Mailing address
3 RIVER OAKS CT APT D, GREENSBORO, NC 27409-2865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24742
NC
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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