| Clark Christian Counseling, Pllc | |
|
320 N Judd Pkwy Ne Ste 226 Fuquay Varina NC 27526-2624 | |
| (919) 812-7535 | |
| Not Available |
| Full Name | Clark Christian Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 320 N Judd Pkwy Ne Ste 226, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Lance Clark (OWNER) |
| Authorized Official Contact | 9198127535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Christian Counseling, Pllc 320 N Judd Pkwy Ne Ste 226 Fuquay Varina NC 27526-2624 Ph: (919) 812-7535 | Clark Christian Counseling, Pllc 320 N Judd Pkwy Ne Ste 226 Fuquay Varina NC 27526-2624 Ph: (919) 812-7535 |
| NPI Number | 1346869534 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346869534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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