Individual
MISS CRYSTAL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, CRC
Contact information
Practice address
107 PINECREST TRL, ROCKINGHAM, NC 28379-7429
(843) 277-8567
Mailing address
7620 RIVERS AVE STE 370, NORTH CHARLESTON, SC 29406-5008
(843) 277-8567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10482
NC
101YM0800X
Mental Health Counselor
Primary
10482
NC
101YP2500X
Professional Counselor
10482
NC
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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