Individual provider · Type 1 NPI

Gian Louis Clark

Counselor · Bronx, NY

NPI number 1710852207 Active

Practice location

5676 Riverdale Ave
Bronx, NY 10471-2138

Fax (718) 884-2901

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X00000000 (NY)

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 1710852207

Gian Louis Clark's National Provider Identifier is 1710852207, issued on Oct 6, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 6, 2025.