person
Judith J Clark, LPC
Professional Counselor in Lebanon, Pennsylvania
NPI 1346421658

Judith J Clark is a Professional Counselor based in Chambersburg, PA and is specialized in Professional. Judith J Clark practices in Lebanon, PA and has the professional credentials of LPC. The NPI Number for Judith J Clark is 1346421658 and holds a License No. PC000691 (Pennsylvania).

The current practice location address for Judith J Clark is 239 S Butler Rd, Lebanon, PA and can be reached out via phone at 717-273-8871 and via fax at 717-270-2452.

Location: 239 S Butler Rd, Lebanon, PA, 17201-4232
person
Provider Profile Details
NPI Number
1346421658
Provider Name
Judith J Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
239 S Butler Rd, Lebanon, PA, 17201-4232
Phone Number
717-273-8871
Fax Number
717-270-2452
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC000691 01 PA STATE LICENSE - PC
103757394 05 PA
11836138 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
239 S Butler Rd
City
State
Zip
17042-8939
Phone Number
717-273-8871
Fax Number
717-270-2452
person
Provider Business Mailing Address Details
Address
239 S Butler Rd
City
State
Zip
17042-8939
Phone Number
717-273-8871
Fax Number
717-270-2452
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC000691 (Pennsylvania)
Definition
Definition to come...
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