| Doctor Name: | MS. NINA B DAMERON |
| NPI Number: | 1063616522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 2864 |
| Business Practice Address: | 232 N Edgeworth St Room 224 Greensboro, NC - 274012218 |
| Business Phone Number: | 3366416437 |
| Business Fax Number: | 3366416436 |
| Mailing Address: | 4806 Country Woods Ln, GREENSBORO |
| State: | NC |
| Postal Code: | 274101814 |
| Phone Number: | 3362940400 |
| Fax Number: | 3366416436 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2864 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |