Individual
SHADAREIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1170A FAIRGROVE CHURCH RD, HICKORY, NC 28602-9695
(828) 464-1172
(828) 464-1175
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14172
NC
Other
Enumeration date
07/31/2018
Last updated
09/02/2022
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