Individual provider · Type 1 NPI

Nicole M. Clark

Counselor · Needham, MA

NPI number 1992413850 Active

Practice location

1968 Central Ave
Needham, MA 02492-1410

Call (781) 292-2196 Map

Mailing address

801 Pleasant St
Brockton, MA 02301-3052

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1992413850

Nicole M. Clark's National Provider Identifier is 1992413850, issued on Nov 9, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Needham, MA. The record was last updated on Oct 7, 2026.