Individual provider · Type 1 NPI

Amy Patrice Clark

Professional Counselor · Austin, TX

NPI number 1144872854 Active

Practice location

2525 Wallingwood Dr, Building 1 Suite 208
Austin, TX 78746

Mailing address

1212 Country Rd
Blanco, TX 78606-5281

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X71649 (TX)

Professional Counselor: Definition to come...

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About NPI 1144872854

Amy Patrice Clark's National Provider Identifier is 1144872854, issued on Jul 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 12, 2019.