person
Jonathan Blake Clarke, LCAS
Addiction (Substance Use Disorder) Counselor in Southport, North Carolina
NPI 1720458615

Jonathan Blake Clarke is an Addiction (Substance Use Disorder) Counselor based in Southport, NC and is specialized in Addiction (Substance Use Disorder). Jonathan Blake Clarke practices in Southport, NC and has the professional credentials of LCAS. The NPI Number for Jonathan Blake Clarke is 1720458615 and holds a License No. LCAS-2729 (North Carolina).

The current practice location address for Jonathan Blake Clarke is 1529 Shepard Rd Se, Southport, NC and can be reached out via phone at 704-249-4231 and via fax at 828-544-1201.

Location: 1529 Shepard Rd Se, Southport, NC, 28461-9435
person
Provider Profile Details
NPI Number
1720458615
Provider Name
Jonathan Blake Clarke
Credential
LCAS
Provider Entity Type
Individual
Gender
Male
Address
1529 Shepard Rd Se, Southport, NC, 28461-9435
Phone Number
704-249-4231
Fax Number
828-544-1201
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1529 Shepard Rd Se
City
State
Zip
28461-9435
Phone Number
704-249-4231
Fax Number
828-544-1201
person
Provider Business Mailing Address Details
Address
1529 Shepard Rd Se
City
State
Zip
28461-9435
Phone Number
704-249-4231
Fax Number
828-544-1201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-2729 (North Carolina)
Definition
Definition to come...
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