MS. Connie Lynn Clark, M.S.ED., LCPC
NPI #1205913191 in Springfield, Illinois
Provider Information
- NPI Number
- 1205913191
- Entity Type
- Individual
- Name
- MS. Connie Lynn Clark, M.S.ED., LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.S.ED., LCPC
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Nov 8, 2008
Practice Location
- Address
- 955 S DURKIN DR
- Address 2
- STE. B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-1370
- Phone
- (217) 753-1288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
| Counselor |
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