Kristina M Clark, LPC
Counselor, Mental Health in Charleston, WV. Individual provider (NPI-1).
NPI number1083173702
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1083173702
- Entity type
- Individual (NPI-1)
- Name
- Kristina M Clark
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2019
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2398 | WV | Yes |
Practice location
511 Morris StCharleston, WV 25301-1326
Phone 304-525-7851 · Fax 304-525-1073
Mailing address
99 Cracker Barrel Dr Ste 100Barboursville, WV 25504-1650
Phone 304-525-7851 · Fax 304-525-1073
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All 108 Mental Health Counselor providers in Charleston · All 9,831 providers in Charleston
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