Individual provider · Type 1 NPI

Charlie Clemons Jr., LCAS-A

Addiction (Substance Use Disorder) Counselor · Greensboro, NC

NPI number 1376094904 Active

Practice location

709 E Market St Ste 100B
Greensboro, NC 27401-3282

Mailing address

181 Virginia Ave
Danville, VA 24541-3761

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-20133 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376094904

Charlie Clemons Jr., LCAS-A's National Provider Identifier is 1376094904, issued on Oct 19, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greensboro, NC. The record was last updated on Oct 19, 2016.