Individual
JANIE SHANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC, NCC
Contact information
Practice address
4209 AZALEA DR, RALEIGH, NC 27612
(919) 696-9070
Mailing address
4209 AZALEA DR, RALEIGH, NC 27612-3601
(919) 696-9070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11287
NC
Other
Enumeration date
12/08/2014
Last updated
08/27/2018
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