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Dr. Madeline Elizabeth Clark, LPC
Mental Health Counselor in Perrysburg, Ohio
NPI 1407477201

Madeline Elizabeth Clark is a Mental Health Counselor based in Perrysburg, OH and is specialized in Mental Health. Madeline Elizabeth Clark practices in Perrysburg, OH and has the professional credentials of LPC. The NPI Number for Madeline Elizabeth Clark is 1407477201 and holds a License No. 0701006781 (Ohio).

The current practice location address for Madeline Elizabeth Clark is 720 Hickory St, Perrysburg, OH and can be reached out via phone at 757-289-2578.

Location: 720 Hickory St, Perrysburg, OH, 43551-2447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407477201
Provider Name
Madeline Elizabeth Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
720 Hickory St, Perrysburg, OH, 43551-2447
Phone Number
757-289-2578
Fax Number
Provider Enumeration Date
05/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701006781 01 VA BOARD OF COUNSELING
institution
Provider Business Practice Location Address Details
Address
720 Hickory St
City
Perrysburg
State
Ohio
Zip
43551-2447
Phone Number
757-289-2578
Fax Number
person
Provider Business Mailing Address Details
Address
720 Hickory St
City
Perrysburg
State
Ohio
Zip
43551-2447
Phone Number
757-289-2578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701006781 (Virginia)
Definition
Definition to come...
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