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
Phone: (919) 812-7535
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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