Individual provider · Type 1 NPI

Caleb S. Clark, LPCC

Counselor · Tiffin, OH

NPI number 1194400085 Active

Practice location

76 Ashwood Dr
Tiffin, OH 44883-1908

Call (419) 448-9440 Map

Mailing address

1925 Hayes Ave
Sandusky, OH 44870-4737

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.2406123 (OH)
Counselor Primary 101Y00000XE.2607304 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194400085

Caleb S. Clark, LPCC's National Provider Identifier is 1194400085, issued on Jun 19, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tiffin, OH. The record was last updated on Jul 10, 2026.