Organization · Type 2 NPI
A Clark Minority Company LLC
Mental Health Counselor · Ponte Vedra Beach, FL
NPI number
1306385448
Active
Practice location
4615 Marsh Hawk Pl
Ponte Vedra Beach, FL 32082-3027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1306385448
A Clark Minority Company LLC's National Provider Identifier is 1306385448, issued on Feb 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Feb 22, 2017.