Tiana Clark's National Provider Identifier (NPI) Details
Tiana Clark, QP, MA, CRC, LPCA
NPI: 1811263759
Enumeration Date: 2012-03-26
Last updated: 2013-06-10
Sole Proprietor: YES
Status: active
Postal Address: 2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC
Phone: 919-251-9001
Primary Practice Address: 2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC
Practice's phone: 919-251-9001