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Robert Jon Clark JR., MA,LPC
Professional Counselor in Dallas, Texas
NPI 1457614885

Robert Jon Clark JR. is a Professional Counselor based in Dallas, TX and is specialized in Professional. Robert Jon Clark JR. practices in Dallas, TX and has the professional credentials of MA,LPC. The NPI Number for Robert Jon Clark JR. is 1457614885 and holds a License No. 66476 (Texas).

The current practice location address for Robert Jon Clark JR. is 4514 Cole Ave, Dallas, TX and can be reached out via phone at 214-907-0089.

Location: 4514 Cole Ave, Dallas, TX, 75205-5412
person
Provider Profile Details
NPI Number
1457614885
Provider Name
Robert Jon Clark JR.
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
4514 Cole Ave, Dallas, TX, 75205-5412
Phone Number
214-907-0089
Fax Number
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309292601 05 TX
309292602 05 TX
8380LC 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4514 Cole Ave
City
State
Zip
75205-5412
Phone Number
214-907-0089
Fax Number
person
Provider Business Mailing Address Details
Address
4514 Cole Ave
City
State
Zip
75205-5412
Phone Number
214-907-0089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
66476 (Texas)
Definition
Definition to come...
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