HERMAN CLARK

CHARLOTTE, NC
NPI1144550005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3196-A)
Enumeration Date2009-12-28
Last Update Date2014-05-07
Business Address
Mr. HERMAN CLARK LCAS-A
6614 FAWN VIEW DRIVE
CHARLOTTE, NC 28216
Phone number: 704-564-8981
Mailing Address
Mr. HERMAN CLARK LCAS-A
6614 FAWN VIEW DR
CHARLOTTE, NC 28216-4847
Phone number: 704-564-8981