person
Mr. Daniel Watkins Shattuck, PHD,LCMHC
Mental Health Counselor in Raleigh, North Carolina
NPI 1558315820

Daniel Watkins Shattuck is a Mental Health Counselor based in Raleigh, NC and is specialized in Mental Health. Daniel Watkins Shattuck practices in Raleigh, NC and has the professional credentials of PHD,LCMHC. The NPI Number for Daniel Watkins Shattuck is 1558315820 and holds a License No. 3398 (North Carolina).

The current practice location address for Daniel Watkins Shattuck is 2501 Atrium Dr Ste 100, Raleigh, NC and can be reached out via phone at 919-763-2760 and via fax at 919-359-9705.

Location: 2501 Atrium Dr Ste 100, Raleigh, NC, 27607-6452
person
Provider Profile Details
NPI Number
1558315820
Provider Name
Daniel Watkins Shattuck
Credential
PHD,LCMHC
Provider Entity Type
Individual
Gender
Male
Address
2501 Atrium Dr Ste 100, Raleigh, NC, 27607-6452
Phone Number
919-763-2760
Fax Number
919-359-9705
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102454 05 NC
E0478 01 NC MEDCOST PREFERRED
75888 01 NC BLUE CROSS AND BLUE SHIEL
institution
Provider Business Practice Location Address Details
Address
2501 Atrium Dr Ste 100
City
State
Zip
27607-6452
Phone Number
919-763-2760
Fax Number
919-359-9705
person
Provider Business Mailing Address Details
Address
2501 Atrium Dr Ste 100
City
State
Zip
27607-6452
Phone Number
919-763-2760
Fax Number
919-359-9705
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3398 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3398 (North Carolina)
Definition
Definition to come...
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