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Organization
TRUE OUTREACH
Active
Organization
TRUE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA CLARK (THERAPIST)
(919) 306-0809
Entity
Organization
Contact information
Practice address
833 WAKE FOREST BUSINESS PARK STE G, WAKE FOREST, NC 27587-7184
(919) 306-0809
Mailing address
4215 VIEWMONT DR, RALEIGH, NC 27610-5330
(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
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/19/2019
Last updated
08/21/2019
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