Individual
DOMINIQUE L NESBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 EAST BLVD STE E1471, CHARLOTTE, NC 28203-5870
(980) 300-0971
Mailing address
1235 EAST BLVD STE E1471, CHARLOTTE, NC 28203-5870
(980) 300-0971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2021
Last updated
01/11/2024
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