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
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-2022
- Phone
- (318) 716-1369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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| MR. Franklin Lyons, MHS | |
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