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STEPHEN DONALD CLARK LPC LCAS NPI 1780702225


NPI Information

NPI: 1780702225
Provider Name: STEPHEN DONALD CLARK, LPC LCAS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
10390 US HIGHWAY 17 N
WILMINGTON, NC
ZIP 28411
Phone: (910) 317-5054
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Stephen Donald Clark, LPC LCAS is a professional counselor in Wilmington, NC. Stephen Donald Clark, LPC LCAS NPI is 1780702225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10390 US HIGHWAY 17 N
WILMINGTON, NC
ZIP 28411-878
Phone: (910) 317-5054
Fax: (910) 681-3718

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional2348NORTH CAROLINAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)466NORTH CAROLINAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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