Individual provider · Type 1 NPI
Patricia Ann Clark, PhD, LPC
Professional Counselor · Aurora, MO
NPI number
1942372248
Active
Practice location
112 S. Madison
Aurora, MO 65605
Mailing address
2227 E Cardinal St
Springfield, MO 65804-6757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2004035218 (MO) |
Professional Counselor: Definition to come...
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About NPI 1942372248
Patricia Ann Clark, PhD, LPC's National Provider Identifier is 1942372248, issued on Nov 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, MO. The record was last updated on Jul 8, 2007.