Individual
NICOLE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS A
Contact information
Practice address
245 EXECUTIVE PARK DR., CONCORD, NC 28025-1833
(704) 939-1100
Mailing address
318 TURNERSBURG HWY, STATESVILLE, NC 28625-2798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25163
NC
Other
Enumeration date
12/31/2015
Last updated
05/26/2017
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