Individual
AAISHA SHEONNA VANBUREN FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
Mailing address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
NC
Enumeration date
09/06/2019
Last updated
08/01/2024
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