Individual
KENNITH M SHAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 N MAIN ST, TROY, NC 27371-2710
(910) 572-2225
Mailing address
805 RIDGE ST, ALBEMARLE, NC 28001-3015
(910) 639-3772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A21211
NC
101YP2500X
Professional Counselor
Primary
A21211
NC
Other
Enumeration date
03/28/2025
Last updated
10/03/2025
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