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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUETTA RESHON COLEMAN

Active Sole Proprietor

Community/Behavioral Health · CHARLOTTE, NC

Registration Details

NPI Number
1093904021
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2007 (18.514624871279 yrs)
Last Updated
Aug 12, 2024
Sole Proprietor
Yes

Practice Information

Address
10926 DAVID TAYLOR DR
CHARLOTTE, NC, 282621293
Browse NC providers · Browse ZIP 28262
Phone
9802173340
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in CHARLOTTE, NC

Name Credential NPI
MS. NANCY NEWSOME 1922244466
PAULETTE L WASHINGTON 1336375278
DORI LARA WHITMAN LCSW 1235421454
MS. ANGELA HEADEN CEO 1770956443
CAROLINE STROUP 1295272474
GEORGWUAN ATKINS 1902380439
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.