Individual provider · Type 1 NPI
Michael G. Shupp
Professional Counselor · Southport, NC
NPI number
1497425870
Active
Practice location
226 Sand Dollar Ln
Southport, NC 28461-6101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13547 (TX) |
Professional Counselor: Definition to come...
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About NPI 1497425870
Michael G. Shupp's National Provider Identifier is 1497425870, issued on Sep 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southport, NC. The record was last updated on Jul 24, 2026.