Individual provider · Type 1 NPI

Charity Ann Clark

Counselor · South Daytona, FL

NPI number 1558804690 Active

Practice location

2400 S Ridgewood Ave
South Daytona, FL 32119-3097

Call (386) 304-7600 Map

Mailing address

2066 Oak Meadow Cir
South Daytona, FL 32119-8821

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558804690

Charity Ann Clark's National Provider Identifier is 1558804690, issued on Nov 21, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Daytona, FL. The record was last updated on Nov 21, 2016.