Individual
MS. CLARA DOWNING BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1100 NAVAHO DR STE 125, RALEIGH, NC 27609-7344
(919) 431-9874
(919) 550-9438
Mailing address
137 TORREY PINES DR, CLAYTON, NC 27527-5301
(919) 550-2748
(919) 550-9438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110542
—
NC
Enumeration date
10/17/2006
Last updated
07/09/2007
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