Individual
SHIRLEY DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP LCAS SAP
Contact information
Practice address
800 W WILLIAMS ST, SUITE 231-O, APEX, NC 27502-6488
(919) 623-4384
(919) 362-4390
Mailing address
1806 CHARLION DOWNS LN, APEX, NC 27502-6488
(919) 623-4384
(919) 362-4390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1231
NC
103TC0700X
Clinical Psychologist
6301006758
MI
Other
Enumeration date
10/28/2008
Last updated
05/14/2010
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