Shaver, Joanne

Shaver, Joanne is an individual health care provider with primary practice located at 284 Executive Park Dr Ste 100 , Concord NC 28025-1833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shaver, Joanne can be contacted via phone (704) 939-1100.

Contact Information

Primary practice address
284 Executive Park Dr Ste 100 Concord NC 28025-1833
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23477-A North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X A-11525 North Carolina

Profile Details

NPI number 1679911499
LBN Legal business name Shaver, Joanne
Credentials MA, LPCA, LCASA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679911499 NPPES
North Carolina MEDICAID 1679911499
North Carolina Other 19EX3

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