Individual provider · Type 1 NPI

Ebonee Monique Clark, LCMHCA

Mental Health Counselor · Cary, NC

NPI number 1124829775 Active

Practice location

300 Ashville Ave
Cary, NC 27518-8682

Mailing address

1232 Channing Park Cir
Cary, NC 27519-7641

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA21186 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1124829775

Ebonee Monique Clark, LCMHCA's National Provider Identifier is 1124829775, issued on Mar 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cary, NC. The record was last updated on Mar 20, 2025.