Provider Demographics
NPI:1447430418
Name:DUGGINS, KARITA
Entity Type:Individual
Prefix:
First Name:KARITA
Middle Name:
Last Name:DUGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 MALLARD WAY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1618
Mailing Address - Country:US
Mailing Address - Phone:980-253-0830
Mailing Address - Fax:
Practice Address - Street 1:9700 RESEARCH DR STE 105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:704-496-9620
Practice Address - Fax:704-496-9622
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21063101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)