Sherry Clark, LPC
Counselor, Professional in Farmville, VA. Individual provider (NPI-1).
NPI number1992277529
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1992277529
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sherry Clark
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2018
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701008054 | VA | Yes |
Practice location
214 Bush River DrFarmville, VA 23901-3179
Phone 434-392-3187 · Fax 434-391-1238
Mailing address
Po Box 248Farmville, VA 23901-0248
Phone 434-392-3187 · Fax 434-391-1238
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