Individual
MR. HERMAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
6614 FAWN VIEW DRIVE, CHARLOTTE, NC 28216
(704) 564-8981
Mailing address
6614 FAWN VIEW DR, CHARLOTTE, NC 28216-4847
(704) 564-8981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3196-A
NC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
05/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us