Individual provider · Type 1 NPI
Andrea Walser Clark, NCC, LPC
Professional Counselor · Advance, NC
NPI number
1336369602
Active
Practice location
157 Walser Way
Advance, NC 27006-7341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3999 (NC) |
Professional Counselor: Definition to come...
About NPI 1336369602
Andrea Walser Clark, NCC, LPC's National Provider Identifier is 1336369602, issued on Apr 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Advance, NC. The record was last updated on Jul 8, 2007.