Individual provider · Type 1 NPI
Tyrell David Clark
Mental Health Counselor · Westampton, NJ
NPI number
1467990093
Active
Practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1467990093
Tyrell David Clark's National Provider Identifier is 1467990093, issued on Feb 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Feb 2, 2017.