Individual
EBONEE MONIQUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
300 ASHVILLE AVE, CARY, NC 27518-8682
(866) 272-7826
Mailing address
1232 CHANNING PARK CIR, CARY, NC 27519-7641
(318) 816-0462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21186
NC
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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