Individual
JOHN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1801 E 5TH ST, SUITE 210, CHARLOTTE, NC 28204-2379
(704) 750-2778
Mailing address
1632 CLUB RD, CHARLOTTE, NC 28205-1614
(704) 750-2778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
11/01/2016
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