Charise Clark

NPI #1811354723 in Colfax, Louisiana

Provider Information

NPI Number: 1811354723
Entity Type: Individual
Name: Charise Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 22, 2016
Last Updated: Aug 1, 2018

Practice Location

Address: 904 MILL ST
City: Colfax
State: Louisiana
ZIP Code: 71417
Phone: (318) 627-5594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X	Primary

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