# MS. LADONNA M CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851576789
- **Gender:** F
- **Credential:** MA, LCAS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1216 | NC | Yes |
| 106S00000X | Behavior Technician | RBT-19-92952 | NULL | — |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 07/29/2019