Individual
AMBER NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 J N PEASE PL, CHARLOTTE, NC 28262-4511
(704) 405-8890
Mailing address
3306 PIKES PEAK DR, GASTONIA, NC 28052-5438
(704) 648-4660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P020044
NC
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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