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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN LEE CLARK JR., LCAS-A

Active

MR. KEVIN LEE CLARK JR., LCAS-A is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SOUTHERN PINES, North Carolina. NPI 1417496829 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · SOUTHERN PINES, NC

Registration Details

NPI Number
1417496829
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2017 (9.4773048079835 yrs)
Last Updated
Jun 25, 2025
License
LCAS-30345 (NC)

Practice Information

Address
150 BOILING SPRINGS CIR
SOUTHERN PINES, NC, 283873306
Browse NC providers · Browse ZIP 28387
Phone
9106902803

Other Addiction (Substance Use Disorder) Counselor Providers in SOUTHERN PINES, NC

Name Credential NPI
ROSEMARY GERTRUDE CALHOUN M.A. 1073614822
MELTON STONEWALL ELLERBE LCAS 1962699033
RICHARD ORVAL MEINECKE MA, LCAS, CCS 1689857567
MS. KIMBERLY DEON MCGREGOR LCAS, CCS-I 1295072429
DAVID CARROLL FINN LCAS 1588091987
MS. BEVERLY JEAN SIMS MSW, LCAS-A 1629529961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.