| Mr Kelvin D Clark, MS, LMFT, LPC, LCAS | |
|
1500 Bragg Blvd, Fayetteville, NC 28301-4289 | |
| (910) 323-1065 | |
| (910) 323-1144 |
| Full Name | Mr Kelvin D Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1500 Bragg Blvd, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033165923 | NPI | - | NPPES |
| 14762257 | Other | NC | UNITED HEALTHCARE |
| 1002X | Other | NC | BLUE CROSS PROVIDER |
| 6102267 | Medicaid | NC | |
| 11367606 | Other | NC | CAQH |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kelvin D Clark, MS, LMFT, LPC, LCAS 3805 Woodside Dr, Sanford, NC 27332-8110 Ph: (919) 776-0399 | Mr Kelvin D Clark, MS, LMFT, LPC, LCAS 1500 Bragg Blvd, Fayetteville, NC 28301-4289 Ph: (910) 323-1065 |
Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385 | |
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000 | |
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092 | |
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256 | |
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520 | |
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256 | |
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942 |