Individual provider · Type 1 NPI

Bryant Clark

Mental Health Counselor · Baton Rouge, LA

NPI number 1679947261 Active

Practice location

8946 Interline Ave Ste A
Baton Rouge, LA 70809-1913

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679947261

Bryant Clark's National Provider Identifier is 1679947261, issued on Nov 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 19, 2015.