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
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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