Individual
MRS. JENIFER KNIGHT SHADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QP, LPC, LCAS-A
Contact information
Practice address
150 NORWOOD FOREST LN, TOBACCOVILLE, NC 27050-9498
(866) 700-1606
(866) 338-5921
Mailing address
150 NORWOOD FOREST LN, TOBACCOVILLE, NC 27050-9498
(866) 700-1606
(866) 338-5921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22760
NC
101YP2500X
Professional Counselor
Primary
12241
NC
Other
Enumeration date
05/13/2016
Last updated
08/06/2021
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