Individual
KATOMI MABINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
7342 FOX POINT DR, CHARLOTTE, NC 28269-2302
(336) 459-0017
Mailing address
7342 FOX POINT DR, CHARLOTTE, NC 28269-2302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
204626
NC
163WP0808X
Psychiatric/Mental Health Registered Nurse
204626
NC
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
06/22/2022
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