Clark, Lance

Clark, Lance is an individual health care provider with primary practice located at 320 N Judd Pkwy Ne Ste 226 , Fuquay Varina NC 27526-2624. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clark, Lance can be contacted via phone (919) 812-7535.

Contact Information

Primary practice address
320 N Judd Pkwy Ne Ste 226 Fuquay Varina NC 27526-2624
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9217 North Carolina

Profile Details

NPI number 1932470119
LBN Legal business name Clark, Lance
Credentials MA, LCMHC, BCTMH, QS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2012
Last updated Jun 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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