Individual provider · Type 1 NPI

Maria G. Clark, LPC, LISAC

Professional Counselor · Scottsdale, AZ

NPI number 1750442596 Active

Practice location

3260 N Hayden Rd, Suite 112
Scottsdale, AZ 85251-6649

Fax (480) 804-0083

Mailing address

1400 E Southern Ave, Ste. 735
Tempe, AZ 85282-5691

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLISAC-10628 (AZ)
Professional Counselor Primary 101YP2500XLPC-13317 (AZ)

Professional Counselor: Definition to come...

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About NPI 1750442596

Maria G. Clark, LPC, LISAC's National Provider Identifier is 1750442596, issued on Dec 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Scottsdale, AZ. The record was last updated on Oct 13, 2015.