Individual provider · Type 1 NPI

Christine Clark, M.S.

Mental Health Counselor · Mattoon, IL

NPI number 1467620674 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467620674

Christine Clark, M.S.'s National Provider Identifier is 1467620674, issued on Feb 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mattoon, IL. The record was last updated on Feb 11, 2008.