person
Mr. Thomas Edward Clark, LMFT,LMFT
Student in an Organized Health Care Education/Training Program in Albany, New York
NPI 1053558205

Thomas Edward Clark is a Student in an Organized Health Care Education/Training Program based in Albany, NY. Thomas Edward Clark practices in Albany, NY and has the professional credentials of LMFT,LMFT. The NPI Number for Thomas Edward Clark is 1053558205 and holds a License No. 56783 (New York).

The current practice location address for Thomas Edward Clark is 980 Western Avenue, Albany, NY and can be reached out via phone at 518-662-0621.

Location: 980 Western Avenue, Albany, NY, 12202
person
Provider Profile Details
NPI Number
1053558205
Provider Name
Thomas Edward Clark
Credential
LMFT,LMFT
Provider Entity Type
Individual
Gender
Male
Address
980 Western Avenue, Albany, NY, 12202
Phone Number
518-662-0621
Fax Number
Provider Enumeration Date
01/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56783 01 CA MFT INTERN NUMBER
institution
Provider Business Practice Location Address Details
Address
980 Western Avenue
City
State
Zip
12202
Phone Number
518-662-0621
Fax Number
person
Provider Business Mailing Address Details
Address
980 Western Avenue
City
State
Zip
12202
Phone Number
518-662-0621
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
56783 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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