Individual provider · Type 1 NPI
Kerry Lynn Shipman, PhD, CADC-R, CPSS
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1134033152
Active
Practice location
6636 E W T Harris Blvd Ste E
Charlotte, NC 28215-5125
Fax (980) 333-4063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADC-28341 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1134033152
Kerry Lynn Shipman, PhD, CADC-R, CPSS's National Provider Identifier is 1134033152, issued on Sep 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Sep 29, 2026.