Individual provider · Type 1 NPI

Rose Clark

Marriage & Family Therapist · South Bend, IN

NPI number 1346386695 Active

Practice location

108 N Main St, Suite 500
South Bend, IN 46601

Fax (574) 246-1250

Mailing address

330 W Lexington Ave, Suite 206
Elkhart, IN 46516

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X33004605A (IN)
Marriage & Family Therapist Primary 106H00000X33004605A (IN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1346386695

Rose Clark's National Provider Identifier is 1346386695, issued on Jan 30, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in South Bend, IN. The record was last updated on Sep 11, 2025.