Provider Demographics
NPI:1790297471
Name:SLADICH, RICHARD CLINE (LCMHC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:CLINE
Last Name:SLADICH
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 HEMLOCK FOREST CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2320
Mailing Address - Country:US
Mailing Address - Phone:919-649-3975
Mailing Address - Fax:
Practice Address - Street 1:3151 HEMLOCK FOREST CIR APT 303
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2320
Practice Address - Country:US
Practice Address - Phone:919-649-3975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional