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Destinee Clark
Mental Health Counselor in San Antonio, Texas
NPI 1144937111

Destinee Clark is a Mental Health Counselor based in San Antonio, TX and is specialized in Mental Health. Destinee Clark practices in San Antonio, TX. The NPI Number for Destinee Clark is 1144937111 and holds a License No. (Texas).

The current practice location address for Destinee Clark is 4241 E Piedras Dr Ste 171, San Antonio, TX and can be reached out via phone at 225-385-4543 and via fax at 866-825-9703.

Location: 4241 E Piedras Dr Ste 171, San Antonio, TX, 78228-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144937111
Provider Name
Destinee Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
4241 E Piedras Dr Ste 171, San Antonio, TX, 78228-1409
Phone Number
225-385-4543
Fax Number
866-825-9703
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4241 E Piedras Dr Ste 171
City
San Antonio
State
Texas
Zip
78228-1409
Phone Number
225-385-4543
Fax Number
866-825-9703
person
Provider Business Mailing Address Details
Address
4241 E Piedras Dr Ste 171
City
San Antonio
State
Texas
Zip
78228-1409
Phone Number
225-385-4543
Fax Number
866-825-9703
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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