Individual provider · Type 1 NPI
Sandra Clark, NCC, LMHC
Mental Health Counselor · Bloomington, IN
NPI number
1013526631
Active
Practice location
205 N College Avenue, Suite 210A
Bloomington, IN 47404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39000552A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1013526631
Sandra Clark, NCC, LMHC's National Provider Identifier is 1013526631, issued on Jul 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IN. The record was last updated on Jul 29, 2020.