| Doctor Name: | RACHEL RENE CLARY |
| NPI Number: | 1255684049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWA |
| License Number: | P006702 |
| Business Practice Address: | 3640 Express Dr Shallotte, NC - 284706501 |
| Business Phone Number: | 9107555222 |
| Business Fax Number: | 9107555255 |
| Mailing Address: | 3640 Express Dr, SHALLOTTE |
| State: | NC |
| Postal Code: | 284706501 |
| Phone Number: | 9107555222 |
| Fax Number: | 9107555255 |
| NPI Enumeration Date: | 10/18/2012 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P006702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |