Individual
DANIELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 NATIONAL DR STE 220, RALEIGH, NC 27612-4879
(919) 781-8370
Mailing address
3725 NATIONAL DR STE 220, RALEIGH, NC 27612-4879
(919) 781-8370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12305
NC
Other
Enumeration date
12/06/2016
Last updated
08/05/2021
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