Individual provider · Type 1 NPI
Nanette Sebrena Clark
Mental Health Counselor · Palm Bay, FL
NPI number
1053049841
Active
Practice location
1550 Orange Blossom Trl NE
Palm Bay, FL 32905-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH20776 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1053049841
Nanette Sebrena Clark's National Provider Identifier is 1053049841, issued on Aug 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Bay, FL. The record was last updated on Aug 10, 2022.