Individual
NAKITA BRISBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1207 KALLI DR, STALLINGS, NC 28104-4417
(540) 287-8462
Mailing address
1207 KALLI DR, STALLINGS, NC 28104-4417
(540) 287-8462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12398A
NC
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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