Individual provider · Type 1 NPI
Judy Patricia Clark, M.ED LPC
Professional Counselor · Plano, TX
NPI number
1619586104
Active
Practice location
2809 Regal Rd # 110
Plano, TX 75075-6317
Mailing address
3240 Candlewood Trl
Plano, TX 75023-1320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 14389 (TX) |
Professional Counselor: Definition to come...
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About NPI 1619586104
Judy Patricia Clark, M.ED LPC's National Provider Identifier is 1619586104, issued on Jul 30, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plano, TX. The record was last updated on Jul 30, 2020.