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

SHASTA GABRIELLE STATEN, MED, LPC

Active

SHASTA GABRIELLE STATEN, MED, LPC is a Professional Counselor healthcare provider located in CHARLOTTE, North Carolina. NPI 1124363718 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHARLOTTE, NC

Registration Details

NPI Number
1124363718
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2012 (13.665132619373 yrs)
Last Updated
Jun 23, 2021
License
9182 (NC)

Practice Information

Address
5200 PARK RD STE 218B
CHARLOTTE, NC, 282093650
Browse NC providers · Browse ZIP 28209
Phone
8667001606
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CHARLOTTE, NC

Name Credential NPI
MR. JAMES MATTHEW GREEN LPC 1003890724
MS. VIVIAN CAROL VIVIAN CAROL 1043297443
MARION DENISE KUPPINGER M.S. 1316924467
MRS. REVELLA H NESBIT LCMHCS 1548248495
MIRIAM P. BUNDY LPC, CEAP 1639157316
MEGHAN E NOLAN MS LPC 1952371114
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.