person
Alisha Shantel Clark, LGPC
Professional Counselor in Parkville, Maryland
NPI 1114798683

Alisha Shantel Clark is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Alisha Shantel Clark practices in Parkville, MD and has the professional credentials of LGPC. The NPI Number for Alisha Shantel Clark is 1114798683 and holds a License No. LG14531 (Maryland).

The current practice location address for Alisha Shantel Clark is 9613 Harford Rd Ste 3, Parkville, MD and can be reached out via phone at 410-714-0775 and via fax at 443-380-2886.

Location: 9613 Harford Rd Ste 3, Parkville, MD, 21209-3062
person
Provider Profile Details
NPI Number
1114798683
Provider Name
Alisha Shantel Clark
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
9613 Harford Rd Ste 3, Parkville, MD, 21209-3062
Phone Number
410-714-0775
Fax Number
443-380-2886
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9613 Harford Rd Ste 3
City
State
Zip
21234-2150
Phone Number
410-714-0775
Fax Number
443-380-2886
person
Provider Business Mailing Address Details
Address
9613 Harford Rd Ste 3
City
State
Zip
21234-2150
Phone Number
410-714-0775
Fax Number
443-380-2886
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LG14531 (Maryland)
Definition
Definition to come...
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