Brooke Clark, MS in Ed. Psychology
Counselor, Mental Health in Elizabethtown, NY. Individual provider (NPI-1).
NPI number1366523896
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1366523896
- Entity type
- Individual (NPI-1)
- Name
- Brooke Clark
- Credential
- MS in Ed. Psychology
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
7513 Court StreetElizabethtown, NY 12932
Phone 518-873-3670 · Fax 518-873-3777
Mailing address
7513 Court StreetElizabethtown, NY 12932
Phone 518-873-3670 · Fax 518-873-3777
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All 38 Mental Health Counselor providers in Elizabethtown · All 143 providers in Elizabethtown
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