person
Adeline Clark, LPC-S
Professional Counselor in Georgetown, Texas
NPI 1508184946

Adeline Clark is a Professional Counselor based in Georgetown, TX and is specialized in Professional. Adeline Clark practices in Georgetown, TX and has the professional credentials of LPC-S. The NPI Number for Adeline Clark is 1508184946 and holds a License No. LPCS70788 (Texas).

The current practice location address for Adeline Clark is 207 Susana Dr, Georgetown, TX and can be reached out via phone at 443-621-2835.

Location: 207 Susana Dr, Georgetown, TX, 78628-8736
person
Provider Profile Details
NPI Number
1508184946
Provider Name
Adeline Clark
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
207 Susana Dr, Georgetown, TX, 78628-8736
Phone Number
443-621-2835
Fax Number
Provider Enumeration Date
05/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
816700100 05 MD
institution
Provider Business Practice Location Address Details
Address
207 Susana Dr
City
State
Zip
78628-8736
Phone Number
443-621-2835
Fax Number
person
Provider Business Mailing Address Details
Address
207 Susana Dr
City
State
Zip
78628-8736
Phone Number
443-621-2835
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPCS70788 (Texas)
Definition
Definition to come...
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