Individual provider · Type 1 NPI

Annamaria Vencenza Clark

Mental Health Counselor · Davenport, FL

NPI number 1487126876 Active

Practice location

2520 Sand Mine Rd
Davenport, FL 33897-3402

Mailing address

225 Micco Ave
Sebring, FL 33870-7031

Other practice locations

  • 225 Micco Ave, Sebring, FL 33870-7031 · (863) 446-1019

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487126876

Annamaria Vencenza Clark's National Provider Identifier is 1487126876, issued on Dec 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, FL. The record was last updated on Dec 22, 2018.