Individual
DAKEITA L STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ARCHDALE DR, CHARLOTTE, NC 28217-4217
(704) 339-0011
Mailing address
500 ARCHDALE DR, CHARLOTTE, NC 28217-4217
(704) 339-0011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17688
NC
Other
Enumeration date
03/25/2024
Last updated
12/02/2025
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