MR. KEVIN CLARK JR., LCAS-A
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1417496829
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LCAS-30345 (NC) |
Frequently Asked Questions
NPI 1417496829 is the National Provider Identifier for MR. KEVIN CLARK JR., LCAS-A, a Counselor - Addiction (Substance Use Disorder) provider located in Southern Pines, NC. This NPI was enumerated on February 17, 2017.
MR. KEVIN CLARK JR., LCAS-A practices at 150 BOILING SPRINGS CIR, Southern Pines, NC 28387.
Quick Facts
- NPI
- 1417496829
- Type
- Individual
- Enumerated
- Feb 17, 2017
- Last Updated
- Jun 25, 2025
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