person
Mrs. Angela Johan Clark, LPC,LPCC,NCC
Professional Counselor in Grass Valley, California
NPI 1013425578

Angela Johan Clark is a Professional Counselor based in Spring Valley, CA and is specialized in Professional. Angela Johan Clark practices in Grass Valley, CA and has the professional credentials of LPC,LPCC,NCC. The NPI Number for Angela Johan Clark is 1013425578 and holds a License No. 2017043804 (California).

The current practice location address for Angela Johan Clark is 673 S Auburn St, Grass Valley, CA and can be reached out via phone at 530-913-7221.

Location: 673 S Auburn St, Grass Valley, CA, 91978-1530
person
Provider Profile Details
NPI Number
1013425578
Provider Name
Angela Johan Clark
Credential
LPC,LPCC,NCC
Provider Entity Type
Individual
Gender
Female
Address
673 S Auburn St, Grass Valley, CA, 91978-1530
Phone Number
530-913-7221
Fax Number
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
673 S Auburn St
City
State
Zip
95945-7576
Phone Number
530-913-7221
Fax Number
person
Provider Business Mailing Address Details
Address
673 S Auburn St
City
State
Zip
95945-7576
Phone Number
530-913-7221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2017043804 (Missouri)
Definition
Definition to come...
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