Individual
JAMES M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9400
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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