Provider Demographics
NPI:1184829020
Name:NANCE, JOHN CURTIS (PHD, LPCS, NCC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CURTIS
Last Name:NANCE
Suffix:
Gender:M
Credentials:PHD, LPCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3102
Mailing Address - Country:US
Mailing Address - Phone:704-287-4855
Mailing Address - Fax:704-343-0458
Practice Address - Street 1:1801 E 5TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2379
Practice Address - Country:US
Practice Address - Phone:704-287-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5219101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor