Individual provider · Type 1 NPI

Eva Clark

Professional Counselor · Austin, TX

NPI number 1730639360 Active

Practice location

100 Congress Ave, Suite 2000
Austin, TX 78701-4072

Call (888) 880-9270 Map

Mailing address

500 Fairway Dr, Suite 102
Deerfield Beach, FL 33441-1814

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X82996 (TX)
Behavior Technician 106S00000XNone listed
Professional Counselor Primary 101YP2500X82996 (TX)

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About NPI 1730639360

Eva Clark's National Provider Identifier is 1730639360, issued on Oct 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Nov 23, 2022.