Shore Counseling Pllc | |
215 S Main St Ste 204 Davidson NC 28036-8039 | |
(704) 765-6025 | |
Not Available |
Full Name | Shore Counseling Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 215 S Main St Ste 204, Davidson, North Carolina |
Authorized Official Name and Position | Brett Alan Shore (OWNER) |
Authorized Official Contact | 7047915632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shore Counseling Pllc 20015 Shearer Rd Davidson NC 28036-9706 Ph: (704) 791-5632 | Shore Counseling Pllc 215 S Main St Ste 204 Davidson NC 28036-8039 Ph: (704) 765-6025 |
NPI Number | 1710512157 |
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Provider Enumeration Date | 03/05/2020 |
Last Update Date | 10/20/2021 |
Certification Date | 10/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710512157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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