Individual provider · Type 1 NPI
Rebecca Jand Clark, LPCC, CRC
Professional Counselor · Albuquerque,, NM
NPI number
1831112671
Active
Practice location
1501 San Pedro SE (116)
Albuquerque,, NM 87108
Fax (505) 256-2819
Mailing address
25 Calle Del Pinon
Sandia Park, NM 87047-9691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0077551 (NM) |
Professional Counselor: Definition to come...
About NPI 1831112671
Rebecca Jand Clark, LPCC, CRC's National Provider Identifier is 1831112671, issued on Jul 25, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque,, NM. The record was last updated on Jul 8, 2007.