Individual provider · Type 1 NPI
Madeline Elizabeth Clark, LPC
Mental Health Counselor · Perrysburg, OH
NPI number
1407477201
Active
Practice location
720 Hickory St
Perrysburg, OH 43551-2447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0701006781 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1407477201
Madeline Elizabeth Clark, LPC's National Provider Identifier is 1407477201, issued on May 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Perrysburg, OH. The record was last updated on May 3, 2020.