Individual provider · Type 1 NPI

Adeline Clark, LPC-S

Professional Counselor · Georgetown, TX

NPI number 1508184946 Active

Practice location

207 Susana Dr
Georgetown, TX 78628-8736

Call (443) 621-2835 Map

Other practice locations

  • 610 E Diamond Ave, Suite 100A, Gaithersburg, MD 20877-5321 · (301) 840-3200

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCS70788 (TX)

Professional Counselor: Definition to come...

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About NPI 1508184946

Adeline Clark, LPC-S's National Provider Identifier is 1508184946, issued on May 10, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Georgetown, TX. The record was last updated on Dec 28, 2020.