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Colleen Clark, LMHC
Professional Counselor in St Petersburg, Florida
NPI 1467936799

Colleen Clark is a Professional Counselor based in St Petersburg, FL and is specialized in Professional. Colleen Clark practices in St Petersburg, FL and has the professional credentials of LMHC. The NPI Number for Colleen Clark is 1467936799 and holds a License No. 15359 (Florida).

The current practice location address for Colleen Clark is 600 1St Ave N Ste 306, St Petersburg, FL and can be reached out via phone at 727-283-4184.

Location: 600 1St Ave N Ste 306, St Petersburg, FL, 33701-3609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467936799
Provider Name
Colleen Clark
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
600 1St Ave N Ste 306, St Petersburg, FL, 33701-3609
Phone Number
727-283-4184
Fax Number
Provider Enumeration Date
09/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O 01 NONE
institution
Provider Business Practice Location Address Details
Address
600 1St Ave N Ste 306
City
St Petersburg
State
Florida
Zip
33701-3609
Phone Number
727-283-4184
Fax Number
person
Provider Business Mailing Address Details
Address
600 1St Ave N Ste 306
City
St Petersburg
State
Florida
Zip
33701-3609
Phone Number
727-283-4184
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
15359 (Florida)
Definition
Definition to come...
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