person
Ethan Clark, MA,LPC
Professional Counselor in Dallas, Texas
NPI 1265027163

Ethan Clark is a Professional Counselor based in Dallas, TX and is specialized in Professional. Ethan Clark practices in Dallas, TX and has the professional credentials of MA,LPC. The NPI Number for Ethan Clark is 1265027163 and holds a License No. 80246 (Texas).

The current practice location address for Ethan Clark is 8150 N Central Expy # M-1065, Dallas, TX and can be reached out via phone at 214-736-9955.

Location: 8150 N Central Expy # M-1065, Dallas, TX, 75206-1815
person
Provider Profile Details
NPI Number
1265027163
Provider Name
Ethan Clark
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
8150 N Central Expy # M-1065, Dallas, TX, 75206-1815
Phone Number
214-736-9955
Fax Number
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8150 N Central Expy # M-1065
City
State
Zip
75206-1815
Phone Number
214-736-9955
Fax Number
person
Provider Business Mailing Address Details
Address
8150 N Central Expy # M-1065
City
State
Zip
75206-1815
Phone Number
214-736-9955
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
80246 (Texas)
Definition
Definition to come...
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