Individual provider · Type 1 NPI

Stacy Clark, MED

Counselor · Springfield, MA

NPI number 1619145497 Active

Practice location

367 Pine St
Springfield, MA 01105-1930

Fax (413) 739-4599

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 1619145497

Stacy Clark, MED's National Provider Identifier is 1619145497, issued on Feb 14, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Springfield, MA. The record was last updated on Feb 14, 2008.