MR. Kevin Lee Clark JR., LCAS-A
NPI #1417496829 in Southern Pines, North Carolina
Provider Information
- NPI Number
- 1417496829
- Entity Type
- Individual
- Name
- MR. Kevin Lee Clark JR., LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Feb 17, 2017
- Last Updated
- Jun 25, 2025
Practice Location
- Address
- 150 BOILING SPRINGS CIR
- City
- Southern Pines
- State
- North Carolina
- ZIP Code
- 28387-3306
- Phone
- (910) 690-2803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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