Individual
CORY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, NCC, LPC-A
Contact information
Practice address
1151 EXECUTIVE CIR, SUITE 102, CARY, NC 27511-4589
(919) 462-8308
(919) 462-0433
Mailing address
1151 EXECUTIVE CIR, SUITE 102, CARY, NC 27511-4589
(919) 462-8308
(919) 462-0433
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12434
NC
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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