Shasta Gabrielle Staten, MED, LPC is a professional counselor in Charlotte, NC. Shasta Gabrielle Staten, MED, LPC NPI is 1124363718. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5200 PARK RD STE 218B
CHARLOTTE, NC
ZIP 28209-650
Phone: (866) 700-1606
The enumeration date for this NPI number is 12/7/2012 and was last updated on 6/23/2021.