Individual
MS. SHAKIRAH JOWHARAH SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CRC,LPC
Contact information
Practice address
644 STONEY GLEN CIR, WINSTON SALEM, NC 27107-6246
(336) 762-2535
Mailing address
644 STONEY GLEN CIR, WINSTON SALEM, NC 27107-6246
(336) 762-2535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7901
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
7901
NC
101YM0800X
Mental Health Counselor
7901
NC
101YP2500X
Professional Counselor
7901
NC
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901
—
NC
Enumeration date
05/10/2011
Last updated
12/26/2023
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