Individual
SHELBY RENEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 GRAY DR, GREENSBORO, NC 27412-5008
(336) 334-5874
(336) 334-3900
Mailing address
107 GRAY DR, GREENSBORO, NC 27412-5008
(336) 334-5874
(336) 334-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11937
NC
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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