Individual
SHAWN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA, NCC, LCASA
Contact information
Practice address
10801 MONROE RD STE A, MATTHEWS, NC 28105-8336
(704) 237-4240
(704) 237-4240
Mailing address
10801 MONROE RD STE A, MATTHEWS, NC 28105-8336
(704) 237-4240
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11559
NC
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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