Individual
BRETT SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC
Contact information
Practice address
215 S MAIN ST STE 204, DAVIDSON, NC 28036-8039
(704) 765-6025
Mailing address
20015 SHEARER RD, DAVIDSON, NC 28036-9706
(704) 791-5632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13184
NC
Other
Enumeration date
10/04/2019
Last updated
10/20/2021
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