Individual provider · Type 1 NPI
Connie Lynn Clark, M.S.ED., LCPC
Professional Counselor · Springfield, IL
NPI number
1205913191
Active
Practice location
955 S Durkin Dr, Ste. B
Springfield, IL 62704-1370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.006792 (IL) |
| Mental Health Counselor | 101YM0800X | 180.006792 (IL) |
| Counselor | 101Y00000X | 180.006792 (IL) |
Professional Counselor: Definition to come...
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About NPI 1205913191
Connie Lynn Clark, M.S.ED., LCPC's National Provider Identifier is 1205913191, issued on Nov 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Nov 8, 2008.