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Organization

CLARK CHRISTIAN COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE CLARK MA, LCMHC, BCTMH, QS (OWNER)
(919) 812-7535
Entity
Organization

Contact information

Practice address
320 N JUDD PKWY NE STE 226, FUQUAY VARINA, NC 27526-2624
(919) 812-7535
Mailing address
320 N JUDD PKWY NE STE 226, FUQUAY VARINA, NC 27526-2624
(919) 812-7535

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/08/2020
Last updated
06/09/2022
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