Search › North Carolina › 101YA0400X
Jonathan Clarke, LCAS
NPI 1720458615 · on the registry since 2015
Practice
- Address
- 1529 Shepard Rd Se
Southport, NC 28461 - Phone
- (704) 249-4231
- Fax
- (828) 544-1201
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina