Most Relevant Information
Provider Data
| NPI Number: | 1003221318 |
| Provider Name: | SHANNELL LUCAS LCMHC, LCAS, CCS, QS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 20858 |
Most Important Dates
| Enumeration Date: | 06/25/2014 |
| Last Updated: | 03/01/2022 |
Provider Practice Location
3816 N ELM ST STE C
GREENSBORO
NC
274552776
Practice Location Phone/Fax
| Phone: | 3365455995 |
| Fax: | 3365455996 |
Provider Mailing Location
3816 N ELM ST STE C
GREENSBORO
NC
274552776
Provider Mailing Phone/Fax
| Phone: | 3365455995 |
| Fax: |