Individual
MRS. SHARON JONES SHALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.ED.,LPC, LMFT,
Contact information
Practice address
601 COUNTRY CLUB DR STE G, GREENVILLE, NC 27834-6124
(252) 355-1764
Mailing address
601 COUNTRY CLUB DR STE G, GREENVILLE, NC 27834-6124
(252) 355-1764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1172
NC
101YP2500X
Professional Counselor
Primary
2219
NC
106H00000X
Marriage & Family Therapist
091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75417
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/04/2007
Last updated
08/05/2010
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