Individual provider · Type 1 NPI

Katelyn E. Clark, LPC

Professional Counselor · Bristow, VA

NPI number 1194485912 Active

Practice location

11835 Hazel Circle Dr
Bristow, VA 20136-1223

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	0701011080 (VA)

Professional Counselor: Definition to come...

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About NPI 1194485912

Katelyn E. Clark, LPC's National Provider Identifier is 1194485912, issued on Dec 20, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bristow, VA. The record was last updated on Dec 20, 2021.