Individual provider · Type 1 NPI

Phillip C. Clarke, MS, EDS, NCC, LPC

Mental Health Counselor · Winston Salem, NC

NPI number 1184788697 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

3704 Cotswold Ter, Unit #3-C
Greensboro, NC 27410-8979

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5515 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1184788697

Phillip C. Clarke, MS, EDS, NCC, LPC's National Provider Identifier is 1184788697, issued on Dec 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 15, 2011.