Individual provider · Type 1 NPI

Clark Raymond Gentile

Mental Health Counselor · Brooklyn, NY

NPI number 1174197933 Active

Practice location

159 20th St
Brooklyn, NY 11232-1253

Mailing address

128 Marine Ave Apt 6D
Brooklyn, NY 11209-7545

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015535 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1174197933

Clark Raymond Gentile's National Provider Identifier is 1174197933, issued on May 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 11, 2025.