Individual
DIAMOND CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8212 VILLAGE HARBOR DR, CORNELIUS, NC 28031-3706
(980) 397-5265
Mailing address
8212 VILLAGE HARBOR DR, CORNELIUS, NC 28031-3706
(980) 397-5265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29950
NC
1041C0700X
Clinical Social Worker
Primary
P021069
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/06/2022
Last updated
04/23/2026
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