Individual provider · Type 1 NPI

Edward G. Clark

Professional Counselor · Fayetteville, NC

NPI number 1578747432 Active

Practice location

804 Stamper Rd, Suite 101
Fayetteville, NC 28303-4379

Call (910) 323-2875 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6688 (NC)

Professional Counselor: Definition to come...

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About NPI 1578747432

Edward G. Clark's National Provider Identifier is 1578747432, issued on Dec 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 27, 2007.