Individual provider · Type 1 NPI

Taylor Clark, LPC

Professional Counselor · San Antonio, TX

NPI number 1104546753 Active

Practice location

4211 Gardendale St Ste 104A
San Antonio, TX 78229-3143

Call (903) 952-1201 Map

Mailing address

7711 Callaghan Rd Apt 501
San Antonio, TX 78229-2331

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X83790 (TX)

Professional Counselor: Definition to come...

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About NPI 1104546753

Taylor Clark, LPC's National Provider Identifier is 1104546753, issued on Sep 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Sep 1, 2022.