Individual provider · Type 1 NPI
Amber Mariah Clark, LPC, NCC
Mental Health Counselor · Charleston, SC
NPI number
1114567864
Active
Practice location
4 Carriage Ln Ste 405
Charleston, SC 29407-6024
Fax (843) 790-9296
Mailing address
3050 Nantuckett Ave
North Charleston, SC 29420-8973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7367 (SC) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1114567864
Amber Mariah Clark, LPC, NCC's National Provider Identifier is 1114567864, issued on Jan 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Jan 10, 2020.