Individual provider · Type 1 NPI

Fran Caroline Clark, M.ED

Mental Health Counselor · Conway, SC

NPI number 1629094479 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Mailing address

4695 Wild Iris Dr Apt 305
Myrtle Beach, SC 29577-8727

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629094479

Fran Caroline Clark, M.ED's National Provider Identifier is 1629094479, issued on Jul 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Jul 8, 2007.