Individual provider · Type 1 NPI

Terry Lynn Clark

Mental Health Counselor · Port Jervis, NY

NPI number 1457913154 Active

Practice location

146 Pike St
Port Jervis, NY 12771-1808

Call (845) 858-1456 Map

Fax (845) 858-1459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457913154

Terry Lynn Clark's National Provider Identifier is 1457913154, issued on Jul 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jervis, NY. The record was last updated on Jul 2, 2019.