Individual provider · Type 1 NPI

Joan Marie Clark, L.P.C.

Professional Counselor · Bryan, TX

NPI number 1073531125 Active

Practice location

2402 Broadmoor Dr, 101-C
Bryan, TX 77802-2847

Call (979) 774-4134 Map

Fax (979) 776-4804

Mailing address

PO Box 826
Montgomery, TX 77356-0826

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12842 (TX)

Professional Counselor: Definition to come...

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About NPI 1073531125

Joan Marie Clark, L.P.C.'s National Provider Identifier is 1073531125, issued on Jul 17, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bryan, TX. The record was last updated on Jul 9, 2007.