person
Shasta Gabrielle Staten, MED,LPC
Professional Counselor in Charlotte, North Carolina
NPI 1124363718

Shasta Gabrielle Staten is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Shasta Gabrielle Staten practices in Charlotte, NC and has the professional credentials of MED,LPC. The NPI Number for Shasta Gabrielle Staten is 1124363718 and holds a License No. 9182 (North Carolina).

The current practice location address for Shasta Gabrielle Staten is 5200 Park Rd Ste 218B, Charlotte, NC and can be reached out via phone at 866-700-1606.

Location: 5200 Park Rd Ste 218B, Charlotte, NC, 28273-8024
person
Provider Profile Details
NPI Number
1124363718
Provider Name
Shasta Gabrielle Staten
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
5200 Park Rd Ste 218B, Charlotte, NC, 28273-8024
Phone Number
866-700-1606
Fax Number
Provider Enumeration Date
12/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5200 Park Rd Ste 218B
City
State
Zip
28209-3650
Phone Number
866-700-1606
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Park Rd Ste 218B
City
State
Zip
28209-3650
Phone Number
866-700-1606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
9182 (North Carolina)
Definition
Definition to come...
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