Individual
STEPHEN DONALD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LCAS
Contact information
Practice address
10390 US HIGHWAY 17 N, WILMINGTON, NC 28411-6878
(910) 317-5054
(910) 681-3718
Mailing address
PO BOX 277, HAMPSTEAD, NC 28443-0277
(910) 617-5054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
466
NC
101YP2500X
Professional Counselor
2348
NC
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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