Individual provider · Type 1 NPI

Brendan Clark

Mental Health Counselor · Orlando, FL

NPI number 1497126601 Active

Practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Fax (407) 659-0411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497126601

Brendan Clark's National Provider Identifier is 1497126601, issued on Oct 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Oct 14, 2015.