Most Relevant Information
Provider Data
NPI Number: | 1003431768 |
Provider Name: | ALEXANDERIA CLARKE YOUNG |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | LCAS-26524 |
Most Important Dates
Enumeration Date: | 06/09/2020 |
Last Updated: | 11/03/2022 |
Provider Practice Location
2101 GARNER RD
RALEIGH
NC
276100114
Practice Location Phone/Fax
Phone: | 9197876131 |
Fax: | 9195712932 |
Provider Mailing Location
3125 POPLARWOOD CT STE 203
RALEIGH
NC
276046445
Provider Mailing Phone/Fax
Phone: | 9197876131 |
Fax: | 9195712932 |