-- TODD CLARK -- LPC
Individual Provider (NPI-1)
Active
Marriage & Family Therapist
Provider Information
- NPI Number
1831311406- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 3821 FORRESTGATE DRIVE DBA FORSYTH BEHAVIOR HEALTH, WINSTON-SALEM, NC, 27103
- Phone
- (336) 277-1811
Specialties & Taxonomies
Marriage & Family Therapist
Primary License: NC #2636
All Addresses
MAILING
2000 FRONTIS PLAZA BLVD SUITE 200 (FORSYTH MEDICAL GROUP)
WINSTON-SALEM, NC, 271035616