Individual
COURTNEY WHITE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, NBC-HWC
Contact information
Practice address
508 FULTON ST # 152, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
216 OSWEGO CT, MORRISVILLE, NC 27560-8662
(252) 377-7138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18676
NC
133N00000X
Nutritionist
74164925
—
171400000X
Health & Wellness Coach
A3549643
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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