Individual provider · Type 1 NPI
Tammy Evette Clark, LPC
Professional Counselor · St. Louis, MO
NPI number
1154583268
Active
Practice location
1133 Putter Ln
St. Louis, MO 63132-3806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2008011148 (MO) |
Professional Counselor: Definition to come...
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About NPI 1154583268
Tammy Evette Clark, LPC's National Provider Identifier is 1154583268, issued on Jun 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Feb 22, 2012.