Individual provider · Type 1 NPI
Dominicka Whitaker, LCAS
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1265961619
Active
Practice location
12365 Bluestem Ln.
Charlotte, NC 28277
Mailing address
12365 Bluestem Ln
Charlotte, NC 28277-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-23562 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265961619
Dominicka Whitaker, LCAS's National Provider Identifier is 1265961619, issued on Jun 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Mar 20, 2023.