person
Mr. Fred Thomas Paul Shah, LCMHC,LCASA
Professional Counselor in Wilmington, North Carolina
NPI 1073857124

Fred Thomas Paul Shah is a Professional Counselor based in Wilmington, NC and is specialized in Professional. Fred Thomas Paul Shah practices in Wilmington, NC and has the professional credentials of LCMHC,LCASA. The NPI Number for Fred Thomas Paul Shah is 1073857124 and holds a License No. 21403 (North Carolina).

The current practice location address for Fred Thomas Paul Shah is 610-A S. College Road, Wilmington, NC and can be reached out via phone at 910-796-2490 and via fax at 910-202-9966. You can also correspond with Fred Thomas Paul Shah through the mailing address at 610-A S. COLLEGE ROAD, WILMINGTON, NC - 28403 (mailing address contact number: 910-796-2490).

Location: 610-A S. College Road, Wilmington, NC, 28403
person
Provider Profile Details
NPI Number
1073857124
Provider Name
Fred Thomas Paul Shah
Credential
LCMHC,LCASA
Provider Entity Type
Individual
Gender
Male
Address
610-A S. College Road, Wilmington, NC, 28403
Phone Number
910-796-2490
Fax Number
910-202-9966
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610-A S. College Road
City
State
Zip
28403-6431
Phone Number
910-796-2490
Fax Number
910-202-9966
person
Provider Business Mailing Address Details
Address
610-A S. College Road
City
State
Zip
28403-6431
Phone Number
910-796-2490
Fax Number
910-202-9966
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21403 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
9687 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
21403 (North Carolina)
Definition
Definition to come...
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