Doctor Name: | MRS. SHAHIN SABOURI |
NPI Number: | 1225479835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS LPCA CRC |
License Number: | 3266 |
Business Practice Address: | 200 N Greensboro St Carrboro, NC - 275101833 |
Business Phone Number: | 9199628351 |
Business Fax Number: | 9199627373 |
Mailing Address: | 200 N Greensboro St, CARRBORO |
State: | NC |
Postal Code: | 275101833 |
Phone Number: | 9199628351 |
Fax Number: | 9199627373 |
NPI Enumeration Date: | 07/11/2013 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |