Individual provider · Type 1 NPI

Marie Clark, M.A., LMFT

Marriage & Family Therapist · Fairview Heights, IL

NPI number 1649541673 Active

Practice location

141 Market Pl, Suite 206
Fairview Heights, IL 62208-2034

Call (314) 644-1557 Map

Fax (314) 453-4942

Mailing address

12685 Dorsett Rd, #339
Maryland Heights, MO 63043-2100

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	166000714 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1649541673

Marie Clark, M.A., LMFT's National Provider Identifier is 1649541673, issued on Jan 23, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairview Heights, IL. The record was last updated on Jan 23, 2012.