Individual
SHANEE WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A, LCAS-A
Contact information
Practice address
612 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4353
(704) 872-0234
(980) 223-8958
Mailing address
612 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4353
(704) 872-0234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29541
NC
101YM0800X
Mental Health Counselor
A18636
NC
Other
Enumeration date
01/24/2024
Last updated
01/29/2024
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