Individual provider · Type 1 NPI

Destinee Clark

Mental Health Counselor · San Antonio, TX

NPI number 1144937111 Active

Practice location

4241 E Piedras Dr Ste 171
San Antonio, TX 78228-1409

Fax (866) 825-9703

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144937111

Destinee Clark's National Provider Identifier is 1144937111, issued on Oct 31, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Oct 31, 2022.