MS. Terry Lynn Clark

NPI #1457913154 in Port Jervis, New York

Provider Information

NPI Number: 1457913154
Entity Type: Individual
Name: MS. Terry Lynn Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 146 PIKE ST
City: Port Jervis
State: New York
ZIP Code: 12771-1808
Phone: (845) 858-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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