Individual provider · Type 1 NPI

Monique Alteriss Clark, QMHP

Mental Health Counselor · Petersburg, VA

NPI number 1760184303 Active

Practice location

132 N Sycamore St # 27
Petersburg, VA 23803-3262

Call (804) 955-7332 Map

Mailing address

3707 Pennyweight Ct
North Chesterfield, VA 23237-1977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0733004653 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1760184303

Monique Alteriss Clark, QMHP's National Provider Identifier is 1760184303, issued on Mar 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petersburg, VA. The record was last updated on Mar 20, 2023.