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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FRED THOMAS PAUL SHAH, LCMHC, LCASA

Active Sole Proprietor

MR. FRED THOMAS PAUL SHAH, LCMHC, LCASA is a Professional Counselor healthcare provider located in WILMINGTON, North Carolina. NPI 1073857124 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WILMINGTON, NC

Registration Details

NPI Number
1073857124
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2012 (13.75765684792 yrs)
Last Updated
Sep 6, 2022
Licenses
21403 (NC)
9687 (NC)
21403 (NC)
9687 (NC)
Sole Proprietor
Yes

Practice Information

Address
610-A S. COLLEGE ROAD
WILMINGTON, NC, 284036431
Browse NC providers · Browse ZIP 28403
Phone
9107962490
Fax
9102029966
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in WILMINGTON, NC

Name Credential NPI
DR. CATHY HAYES NORTON DMIN, MA, MED, LPC 1578548731
WILLARD H MEEKS JR. LCMHC 1144208927
TRACY BOYER-MATTHEWS MA, LPC 1376518852
SHIRLEY W SOUTHARD 1083651376
DR. GEORGE NELSON GATES D.MIN. LPC 1073552600
DEBRA S ROCHELLE LPC 1821039181
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.