Individual provider · Type 1 NPI

Tracy Clark

Mental Health Counselor · New Orleans, LA

NPI number 1477907368 Active

Practice location

1406 Esplanade Ave
New Orleans, LA 70116-1803

Call (504) 304-4097 Map

Fax (504) 218-7962

Mailing address

4516 Perlita St
New Orleans, LA 70122-1849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1477907368

Tracy Clark's National Provider Identifier is 1477907368, issued on Apr 18, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Orleans, LA. The record was last updated on Apr 18, 2016.