Organization
CLARE A. STADLEN, LCSW, PLLC
Active
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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