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Vicki Lyne Clark, MED
Mental Health Counselor in Chardon, Ohio
NPI 1184790859

Vicki Lyne Clark is a Mental Health Counselor based in Mentor, OH and is specialized in Mental Health. Vicki Lyne Clark practices in Chardon, OH and has the professional credentials of MED. The NPI Number for Vicki Lyne Clark is 1184790859 and holds a License No. E 0002811 (Ohio).

The current practice location address for Vicki Lyne Clark is 12557 Ravenwood Dr, Chardon, OH and can be reached out via phone at 440-285-3568 and via fax at 440-285-4552.

Location: 12557 Ravenwood Dr, Chardon, OH, 44060-5124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184790859
Provider Name
Vicki Lyne Clark
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
12557 Ravenwood Dr, Chardon, OH, 44060-5124
Phone Number
440-285-3568
Fax Number
440-285-4552
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12557 Ravenwood Dr
City
Chardon
State
Ohio
Zip
44024-9009
Phone Number
440-285-3568
Fax Number
440-285-4552
person
Provider Business Mailing Address Details
Address
12557 Ravenwood Dr
City
Chardon
State
Ohio
Zip
44024-9009
Phone Number
440-285-3568
Fax Number
440-285-4552
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
E 0002811 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
E 0002811 (Ohio)
Definition
Definition to come...
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