Organization
CLARE A. STADLEN, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE ANDREA STADLEN LCSW (LICENSED PSYCHOTHERAPIST)
(919) 602-6766
Entity
Organization
Contact information
Practice address
3622 LYCKAN PKWY, SUITE 3002, DURHAM, NC 27707-2564
(919) 602-6766
Mailing address
3622 LYCKAN PKWY, SUITE 3002, DURHAM, NC 27707-2564
(919) 602-6766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7485
NC
1041C0700X
Clinical Social Worker
Primary
C003990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2877131A
MEDICARE PTAN
NC
Enumeration date
08/11/2015
Last updated
08/11/2015
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