Individual
CHENETTA YVONNE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 VERNON FARMS BLVD, KERNERSVILLE, NC 27284-0130
(336) 293-6257
Mailing address
4545 VERNON FARMS BLVD, KERNERSVILLE, NC 27284-0130
(336) 293-6257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9502
NC
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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