Individual provider · Type 1 NPI

Courtney Marie Clark, MS, LPC

Professional Counselor · Milwaukee, WI

NPI number 1275002164 Active

Practice location

833 N 26th St
Milwaukee, WI 53233-1507

Call (414) 345-6386 Map

Mailing address

1705 17th Ave
Grafton, WI 53024-2030

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7192-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1275002164

Courtney Marie Clark, MS, LPC's National Provider Identifier is 1275002164, issued on Nov 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 20, 2018.