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Individual

HOLLY ANN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
4813 W MARKET ST, GREENSBORO, NC 27407-1403
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-2761
NC

Other

Enumeration date
02/07/2008
Last updated
03/06/2026
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