Tiara M Clark, MA, LPC
Counselor, Professional in Cincinnati, OH. Individual provider (NPI-1).
NPI number1689330458
StatusActive
Last updated in NPPESNov 16, 2021
Details
- NPI
- 1689330458
- Entity type
- Individual (NPI-1)
- Name
- Miss Tiara M Clark
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2021
- Certification date
- Nov 16, 2021
- Last updated
- Nov 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.2103784 | OH | Yes |
Practice location
6881 Beechmont AveCincinnati, OH 45230-2907
Phone 513-231-6630 · Fax 513-230-2838
Mailing address
6881 Beechmont AveCincinnati, OH 45230-2907
Phone 513-231-6630 · Fax 513-230-2838
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