Individual
SHANNA NESHELLE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
1200 SE MAYNARD RD STE 203, CARY, NC 27511-6937
(919) 379-5788
Mailing address
PO BOX 3836, CARY, NC 27519-3836
(919) 379-5788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21203A
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
A10214
NC
Other
Enumeration date
07/19/2013
Last updated
03/27/2023
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