Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KANTRELL DESHAWN SHELTON, LCAS
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · RAEFORD, NC
Registration Details
- NPI Number
- 1770828998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2012 (13.411092311995 yrs)
- Last Updated
- Jul 14, 2015
- License
-
3029A (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 E ELWOOD AVERAEFORD, NC, 283762921Browse NC providers · Browse ZIP 28376
- Phone
- 9108481924
- Fax
- 9108481928
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RAEFORD, NC
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH ANN FIKE | LCAS, CCS | 1356407977 |
| MR. ROBERT LAMONT SMITH SR. | MSW, LCSW, LCAS, CCS | 1447389853 |
| MRS. CHRISTINE L. ELLIOTT | LCAS | 1285855379 |
| MRS. CAROLYN FLOYD ROBINSON | LCAS, CCS, LCSWA | 1598932311 |
| MR. ISAAC L. JACKSON | LCAS-A | 1093066037 |
| MRS. BEVERLY RENE ANDERSON | LCASA | 1518309160 |
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.