Individual provider · Type 1 NPI

Mariana Marisela Clark, LPC

Mental Health Counselor · Tempe, AZ

NPI number 1588355986 Active

Practice location

4515 S Mcclintock Dr Ste 114
Tempe, AZ 85282-7381

Call (480) 641-1165 Map

Mailing address

300 E Commonwealth Ave Apt 124
Chandler, AZ 85225-8515

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC-22895 (AZ)
Mental Health Counselor Primary 101YM0800XLPC-22895 (AZ)
Professional Counselor 101YP2500XLPC-22895 (AZ)

Mental Health Counselor: Definition to come...

21 other providers at this address

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About NPI 1588355986

Mariana Marisela Clark, LPC's National Provider Identifier is 1588355986, issued on May 16, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tempe, AZ. The record was last updated on Sep 15, 2025.