Individual provider · Type 1 NPI

Lexi Clark, BS MHP

Mental Health Counselor · Vienna, IL

NPI number 1417487398 Active

Practice location

101 Oliver St
Vienna, IL 62995-1660

Mailing address

PO Box 1328
Vienna, IL 62995-1328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417487398

Lexi Clark, BS MHP's National Provider Identifier is 1417487398, issued on Jun 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on Jun 14, 2017.