Individual provider · Type 1 NPI

Stacina Elizabeth Clark, LPC

Mental Health Counselor · Havertown, PA

NPI number 1174023980 Active

Practice location

2000 Old West Chester Pike
Havertown, PA 19083-2712

Mailing address

222 Blanchard Rd
Drexel Hill, PA 19026-2807

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPC009950 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1174023980

Stacina Elizabeth Clark, LPC's National Provider Identifier is 1174023980, issued on Feb 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Havertown, PA. The record was last updated on Feb 19, 2018.