Individual provider · Type 1 NPI
Brandi Richele Clark, LPC, CRC
Professional Counselor · Longview, TX
NPI number
1750175808
Active
Practice location
265 Sweetheart Ln
Longview, TX 75605-6894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 18090 (TX) |
Professional Counselor: Definition to come...
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About NPI 1750175808
Brandi Richele Clark, LPC, CRC's National Provider Identifier is 1750175808, issued on Apr 5, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Apr 5, 2025.