Individual provider · Type 1 NPI

Gregory Scott Clark Jr.

Professional Counselor · Tyler, TX

NPI number 1881055911 Active

Practice location

1121 E Southeast Loop 323 Ste 204
Tyler, TX 75701

Call (903) 581-0933 Map

Fax (903) 581-0933

Other practice locations

  • 13207 Wright Rd, Buda, TX 78610 · (512) 697-8600
  • 13207 Wright Rd, Buda, TX 78610 · (512) 697-8600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X31769 (TX)
Professional Counselor Primary 101YP2500X78242 (TX)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1881055911

Gregory Scott Clark Jr.'s National Provider Identifier is 1881055911, issued on Mar 17, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Oct 24, 2019.