Individual provider · Type 1 NPI

Shelly Rene Clark

Mental Health Counselor · Lincoln, NE

NPI number 1487720496 Active

Practice location

3940 Cornhusker Hwy
Lincoln, NE 68504-1534

Mailing address

1540 Janssen Dr
Lincoln, NE 68506-1842

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7653 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1487720496

Shelly Rene Clark's National Provider Identifier is 1487720496, issued on Nov 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lincoln, NE. The record was last updated on Jul 8, 2007.