Amends GS 90-143.4 (pertaining to certifications of competency for chiropractic clinical assistants) to allow for chiropractic clinical assistants who are graduates of or students enrolled in accredited chiropractic colleges and participating in a preceptorship program in this State to provide the following licensed services under the direct supervision of a licensed chiropractor: (1) chiropractic adjustment; (2) manual therapy and (3) nutritional instruction. (Currently chiropractic clinical assistants cannot provide these services.) Deletes reference to counseling from the statute as a type of licensed service the chiropractic clinical assistants are barred from performing. Defines direct supervision. Makes conforming changes to GS 90-147 (practicing without a license).  Authorizes rulemaking to implement the new law by the Board of Chiropractic Commissioners. Effective October 1, 2023.