Individual
SHAKIRA DEONA KEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC,LPCA
Contact information
Practice address
1010 W NORTHWEST BLVD, WINSTON SALEM, NC 27101-1105
(336) 722-4000
(336) 722-8003
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13671
NC
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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