Paramount Lee Shaw LPC/MASTERS

NPI 1093072258 - Counselor - 101Y00000X

NPI Details
NPI 1093072258
Gender Male
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5500 EXECUTIVE CENTER DR STE 106
CHARLOTTE NC, 28212-8851, US
Phone (864) 862-7384
Fax (980) 224-7948
Business Location
815 HELLAMS ST
FOUNTAIN INN SC, 29644-9445, US
Phone (864) 862-7384
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State South Carolina
License Number 5462
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According to our database, Mr. Paramount Lee Shaw LPC/MASTERS NPI is 1093072258, taxonomy code is 101Y00000X and license number is 5462, license state is located at South Carolina. Paramount Lee Shaw LPC/MASTERS physically located at 5500 Executive Center Dr Ste 106, Charlotte NC, 28212-8851. NPI Number Paramount Lee Shaw LPC/MASTERS has the Individual type.

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1093072258 NPI number is provided on an as is basis without warranty of any kind. 1093072258 is maintained by the National Plan & Provider Enumeration System. The contents of Paramount Lee Shaw LPC/MASTERS are for informational purposes only.