Individual provider · Type 1 NPI

Ladonna M. Clark, MA, LCAS

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1851576789 Active

Practice location

2949 New Bern Ave, Suite 109
Raleigh, NC 27610-1248

Fax (919) 212-8158

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-19-92952
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1216 (NC)

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

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About NPI 1851576789

Ladonna M. Clark, MA, LCAS's National Provider Identifier is 1851576789, issued on Jan 9, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 29, 2019.