Dr. Madeline Elizabeth Clark, LPC
Counselor, Mental Health in Perrysburg, OH. Individual provider (NPI-1).
NPI number1407477201
StatusActive
Last updated in NPPESMay 3, 2020
Details
- NPI
- 1407477201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madeline Elizabeth Clark
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2020
- Certification date
- May 3, 2020
- Last updated
- May 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701006781 | VA | Yes |
Practice location
720 Hickory StPerrysburg, OH 43551-2447
Phone 757-289-2578
Mailing address
720 Hickory StPerrysburg, OH 43551-2447
Phone 757-289-2578
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