White Clark, Courtney

White Clark, Courtney is an sole proprietor health care provider with primary practice located at 508 Fulton St # 152 , Durham NC 27705-3875. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. White Clark, Courtney can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton St # 152 Durham NC 27705-3875
Phone: (919) 286-0411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 74164925
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A18676 North Carolina

Profile Details

NPI number 1730938887
LBN Legal business name White Clark, Courtney
Credentials LCMHC, NBC-HWC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2024
Last updated May 13th, 2024 - about last year

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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