Tina Clark, LPC
NPI #1730327040 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1730327040
- Entity Type
- Individual
- Name
- Tina Clark, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 23, 2009
- Last Updated
- Jan 23, 2009
Practice Location
- Address
- 221 WEST MAIN STREET
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640-9723
- Phone
- (336) 246-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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