Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charlie Clemons Jr., LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376094904

Mr. Charlie Clemons Jr., LCAS-A is an Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016

Practice location Address checks out

709 E Market St Ste 100B
Greensboro, NC 27401-3282
Phone: (336) 378-0109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-20133 (NC)

Record details

NPI number1376094904
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016

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