Individual provider · Type 1 NPI
Shandrea Clark, LPC
Professional Counselor · Bowie, TX
NPI number
1609104926
Active
Practice location
710 W Wise St
Bowie, TX 76230-4740
Mailing address
709 E Williams St
St. Jo, TX 76265-2189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 62851 (TX) |
Professional Counselor: Definition to come...
About NPI 1609104926
Shandrea Clark, LPC's National Provider Identifier is 1609104926, issued on Nov 24, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bowie, TX. The record was last updated on Nov 24, 2009.