person
Anthony Martin Clark II
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1598294746

Anthony Martin Clark II is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Anthony Martin Clark II practices in Baton Rouge, LA. The NPI Number for Anthony Martin Clark II is 1598294746 and holds a License No. 010231785 (Louisiana).

The current practice location address for Anthony Martin Clark II is 8946 Interline Ave Ste A, Baton Rouge, LA and can be reached out via phone at 225-615-7282.

Location: 8946 Interline Ave Ste A, Baton Rouge, LA, 70809-2189
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Provider Profile Details
NPI Number
1598294746
Provider Name
Anthony Martin Clark II
Credential
Provider Entity Type
Individual
Gender
Male
Address
8946 Interline Ave Ste A, Baton Rouge, LA, 70809-2189
Phone Number
225-615-7282
Fax Number
Provider Enumeration Date
06/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010231785 05 LA
institution
Provider Business Practice Location Address Details
Address
8946 Interline Ave Ste A
City
State
Zip
70809-1913
Phone Number
225-615-7282
Fax Number
person
Provider Business Mailing Address Details
Address
8946 Interline Ave Ste A
City
State
Zip
70809-1913
Phone Number
225-615-7282
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
010231785 (Louisiana)
Definition
Definition to come...
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