Individual provider · Type 1 NPI

Kristina Nichole Taylor Clemmons, LCMHC, LCAS

Professional Counselor · Shallotte, NC

NPI number 1467743930 Active

Practice location

120 Coastal Horizons Dr
Shallotte, NC 28470-6094

Call (910) 754-4515 Map

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431

Other practice locations

  • 4036 Bus 17 East Bldg 600, Bolivia, NC 28422-2842 · (910) 703-8800
  • 6 Doctors Cir Ste 1, Supply, NC 28462-6358 · (910) 754-4233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3394 (NC)
Mental Health Counselor 101YM0800XA8665 (NC)
Mental Health Counselor 101YM0800X8665 (NC)
Professional Counselor Primary 101YP2500X8665 (NC)

Professional Counselor: Definition to come...

52 other providers at this address

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About NPI 1467743930

Kristina Nichole Taylor Clemmons, LCMHC, LCAS's National Provider Identifier is 1467743930, issued on May 2, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shallotte, NC. The record was last updated on Jan 17, 2023.