Diamond Corbin
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1164036976
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1164036976
- Entity type
- Individual (NPI-1)
- Name
- Diamond Corbin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P014760 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 26634 | NC |
Practice location
3553 N Sharon Amity Rd Ste 200Charlotte, NC 28205-8992
Phone 704-605-0927
Mailing address
6341 Royal Celadon WayCharlotte, NC 28269-7327
Phone 980-939-2384
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