KANTRELL DESHAWN SHELTON

RAEFORD, NC
NPI1770828998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3029A)
Enumeration Date2012-11-28
Last Update Date2015-07-14
Business Address
Mr. KANTRELL DESHAWN SHELTON LCAS
112 E ELWOOD AVE
RAEFORD, NC 28376-2921
Phone number: 910-848-1924
Mailing Address
Mr. KANTRELL DESHAWN SHELTON LCAS
2959 DALMATION DR
HOPE MILLS, NC 28348-4004
Phone number: 910-263-9570
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