Individual
MRS. REVELLA H NESBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
9625 DAVID TAYLOR DRIVE, SUITE 105, CHARLOTTE, NC 28262
(704) 399-8402
(704) 392-3586
Mailing address
4111 AMBER LEIGH WAY DRIVE, CHARLOTTE, NC 28269
(704) 399-8402
(704) 392-3586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102253
—
NC
Enumeration date
01/01/2006
Last updated
12/20/2024
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