Individual provider · Type 1 NPI
Demeatris Clark, M.A, LCAS-A
Counselor · Charlotte, NC
NPI number
1972900702
Active
Practice location
7925 N Tryon St
Charlotte, NC 28262-3408
Mailing address
8912 Mcmillian Dr
Harrisburg, NC 28075-8654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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About NPI 1972900702
Demeatris Clark, M.A, LCAS-A's National Provider Identifier is 1972900702, issued on Nov 21, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 5, 2017.