Individual provider · Type 1 NPI

Katrel Alease Clack Thomas

Mental Health Counselor · Raleigh, NC

NPI number 1134074230 Active

Practice location

3050 Berks Way
Raleigh, NC 27614-6598

Fax (919) 900-7576

Mailing address

11711 Mezzanine Dr Unit 103
Raleigh, NC 27614-9594

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA22256 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1134074230

Katrel Alease Clack Thomas's National Provider Identifier is 1134074230, issued on Mar 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Mar 3, 2026.