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Individual

SHEKEEMA SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS-A

Contact information

Practice address
4276 LEGEND AVE, FAYETTEVILLE, NC 28303-3497
(910) 867-0035
(910) 485-6589
Mailing address
1409 PINCKNEY ST, WHITEVILLE, NC 28472-2220
(910) 641-0600
(910) 641-4177

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20611
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20611
LICENSED CLINICAL ADDICTION SPECIALIST
NC
Enumeration date
09/10/2014
Last updated
09/10/2014
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