Individual provider · Type 1 NPI

Channing Clark, LCPC

Mental Health Counselor · Columbia, MD

NPI number 1306388293 Active

Practice location

4806 Teal Wing Ct, 104
Columbia, MD 21045-2120

Call (301) 254-9608 Map

Mailing address

8101 Sandy Spring Rd Ste 300
Laurel, MD 20707-3596

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC7470 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1306388293

Channing Clark, LCPC's National Provider Identifier is 1306388293, issued on Nov 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MD. The record was last updated on Dec 30, 2025.