person
Mr. Gary E. Clark, LCPC
Mental Health Counselor in Gaithersburg, Maryland
NPI 1588605125

Gary E. Clark is a Mental Health Counselor based in Gaithersburg, MD and is specialized in Mental Health. Gary E. Clark practices in Gaithersburg, MD and has the professional credentials of LCPC. The NPI Number for Gary E. Clark is 1588605125 and holds a License No. LC 0902 (Maryland).

The current practice location address for Gary E. Clark is 7529 Cinnabar Ter, Gaithersburg, MD and can be reached out via phone at 301-917-7947. You can also correspond with Gary E. Clark through the mailing address at 7529 CINNABAR TER, GAITHERSBURG, MD - 20879-4576 (mailing address contact number: 301-917-7947).

Location: 7529 Cinnabar Ter, Gaithersburg, MD, 20879-4576
person
Provider Profile Details
NPI Number
1588605125
Provider Name
Gary E. Clark
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
7529 Cinnabar Ter, Gaithersburg, MD, 20879-4576
Phone Number
301-917-7947
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051700300 05 MD
institution
Provider Business Practice Location Address Details
Address
7529 Cinnabar Ter
City
State
Zip
20879-4576
Phone Number
301-917-7947
Fax Number
person
Provider Business Mailing Address Details
Address
7529 Cinnabar Ter
City
State
Zip
20879-4576
Phone Number
301-917-7947
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC 0902 (Maryland)
Definition
Definition to come...
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