Jonathan Blake Clarke, LCAS

NPI #1720458615 in Southport, North Carolina

Provider Information

NPI Number: 1720458615
Entity Type: Individual
Name: Jonathan Blake Clarke, LCAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCAS
Enumeration Date: Oct 5, 2015
Last Updated: Dec 6, 2023

Practice Location

Address: 1529 SHEPARD RD SE
City: Southport
State: North Carolina
ZIP Code: 28461-9435
Phone: (704) 249-4231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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MRS. Shannon A Perez, MSW, LCSW, LCAS-A	Counselor - Addiction (Substance Use Disorder)	Southport	AI Deep Dive
Tonya Hilliard, LCAS-A	Counselor - Addiction (Substance Use Disorder)	Southport	AI Deep Dive
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Organizations

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Learn Inspire Thrive-Lit Teen Substance Use Program	Counselor - Addiction (Substance Use Disorder)	Southport	AI Deep Dive
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