Individual provider · Type 1 NPI

Kantrell Deshawn Shelton, LCAS

Addiction (Substance Use Disorder) Counselor · Raeford, NC

NPI number 1770828998 Active

Practice location

112 E Elwood Ave
Raeford, NC 28376-2921

Fax (910) 848-1928

Mailing address

2959 Dalmation Dr
Hope Mills, NC 28348-4004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3029A (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770828998

Kantrell Deshawn Shelton, LCAS's National Provider Identifier is 1770828998, issued on Nov 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raeford, NC. The record was last updated on Jul 14, 2015.