Individual provider · Type 1 NPI
Charlotte Shah, LCMHC, LCAS, CSI
Addiction (Substance Use Disorder) Counselor · Wilmington, NC
NPI number
1629706148
Active
Practice location
1302 Bexley Dr
Wilmington, NC 28412-2091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 17936 (NC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-24188 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629706148
Charlotte Shah, LCMHC, LCAS, CSI's National Provider Identifier is 1629706148, issued on Aug 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, NC. The record was last updated on Apr 20, 2026.