Dr. Shanita Shantelle Brown, PhD, LCMHC, NCC
Counselor, Mental Health in Knightdale, NC. Individual provider (NPI-1).
NPI number1134465339
StatusActive
Last updated in NPPESDec 16, 2020
Details
- NPI
- 1134465339
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shanita Shantelle Brown
- Credential
- PhD, LCMHC, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2012
- Certification date
- Dec 16, 2020
- Last updated
- Dec 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 14463 | NC | Yes |
Practice location
6845 Knightdale Blvd Ste 104Knightdale, NC 27545-9800
Phone 919-604-5800
Mailing address
3621 Landshire View LnRaleigh, NC 27616-8899
Phone 919-604-5800
Other practice locations
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