Individual
CLARA JO TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3000 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 250-1550
(919) 250-1597
Mailing address
4429 WHISPERWOOD DR, RALEIGH, NC 27616-3166
(919) 250-1550
(919) 250-1597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1066
NC
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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