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Organization
TRUE OUTREACH PROGRAM SERVICES
Active
Organization
TRUE OUTREACH PROGRAM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LADONNA CLARK LCAS, CCS, SAP (PROGRAM MANAGER)
(919) 306-0809
Entity
Organization
Contact information
Practice address
2949 NEW BERN AVE STE 109B, RALEIGH, NC 27610-1248
(919) 306-0809
(919) 212-8158
Mailing address
2949 NEW BERN AVE STE 109B, RALEIGH, NC 27610-1248
(919) 306-0809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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