Individual provider · Type 1 NPI
Jonathan Blake Clarke, LCAS
Addiction (Substance Use Disorder) Counselor · Southport, NC
NPI number
1720458615
Active
Practice location
1529 Shepard Rd SE
Southport, NC 28461-9435
Fax (828) 544-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-2729 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Southport
About NPI 1720458615
Jonathan Blake Clarke, LCAS's National Provider Identifier is 1720458615, issued on Oct 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southport, NC. The record was last updated on Dec 6, 2023.