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Gracia Clark
Counselor in Maplewood, Minnesota
NPI 1417602251

Gracia Clark is a Counselor based in Maplewood, MN. Gracia Clark practices in Maplewood, MN. The NPI Number for Gracia Clark is 1417602251 and holds a License No. 8447125 (Minnesota).

The current practice location address for Gracia Clark is 2350 Stillwater Ave E Apt 202, Maplewood, MN and can be reached out via phone at 920-344-5779.

Location: 2350 Stillwater Ave E Apt 202, Maplewood, MN, 55119-3667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417602251
Provider Name
Gracia Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2350 Stillwater Ave E Apt 202, Maplewood, MN, 55119-3667
Phone Number
920-344-5779
Fax Number
Provider Enumeration Date
02/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2350 Stillwater Ave E Apt 202
City
Maplewood
State
Minnesota
Zip
55119-3667
Phone Number
920-344-5779
Fax Number
person
Provider Business Mailing Address Details
Address
2350 Stillwater Ave E Apt 202
City
Maplewood
State
Minnesota
Zip
55119-3667
Phone Number
920-344-5779
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8447125 (Wisconsin)
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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