Individual
MEGAN MONTGOMERY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACC, LPCA
Contact information
Practice address
4232 SHOPTON RD, CHARLOTTE, NC 28217-3016
(704) 780-3788
(704) 899-9996
Mailing address
142 STILL AVE, FORT MILL, SC 29715-1643
(704) 780-3788
(704) 899-9996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12777
NC
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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