Individual provider · Type 1 NPI

Tina Clark, LCPC

Professional Counselor · Woodlawn, MD

NPI number 1194561092 Active

About NPI 1194561092

Tina Clark, LCPC's National Provider Identifier is 1194561092, issued on Jul 1, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodlawn, MD. The record was last updated on Jun 24, 2025.