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M Clark Canine, MALMHCNCC
Counselor in Winter Park, Florida
NPI 1275545576

M Clark Canine is a Counselor based in Winter Park, FL. M Clark Canine practices in Winter Park, FL and has the professional credentials of MALMHCNCC. The NPI Number for M Clark Canine is 1275545576 and holds a License No. MH 6630 (Florida).

The current practice location address for M Clark Canine is 2281 Lee Rd, Winter Park, FL and can be reached out via phone at 407-647-4902. You can also correspond with M Clark Canine through the mailing address at 2281 LEE RD, WINTER PARK, FL - 32789-7203 (mailing address contact number: 407-647-4902).

Location: 2281 Lee Rd, Winter Park, FL, 32789-7203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275545576
Provider Name
M Clark Canine
Credential
MALMHCNCC
Provider Entity Type
Individual
Gender
Male
Address
2281 Lee Rd, Winter Park, FL, 32789-7203
Phone Number
407-647-4902
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2281 Lee Rd
City
Winter Park
State
Florida
Zip
32789-7203
Phone Number
407-647-4902
Fax Number
person
Provider Business Mailing Address Details
Address
2281 Lee Rd
City
Winter Park
State
Florida
Zip
32789-7203
Phone Number
407-647-4902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH 6630 (Florida)
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.
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