Eric Vinceson Clark SR.

NPI #1588194583 in Shreveport, Louisiana

Provider Information

NPI Number
1588194583
Entity Type
Individual
Name
Eric Vinceson Clark SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jun 13, 2017
Last Updated
Jun 26, 2023

Practice Location

Address
404 HEARNE AVE
ZIP Code
71103-2022
Phone
(318) 716-1369

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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