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Derrick Rogers Clark, LPC
Mental Health Counselor in Iowa City, Iowa
NPI 1609184324

Derrick Rogers Clark is a Mental Health Counselor based in Iowa City, IA and is specialized in Mental Health. Derrick Rogers Clark practices in Iowa City, IA and has the professional credentials of LPC. The NPI Number for Derrick Rogers Clark is 1609184324 and holds a License No. 2010031959 (Iowa).

The current practice location address for Derrick Rogers Clark is 673 Westbury Dr Ste 201, Iowa City, IA and can be reached out via phone at 319-356-6352 and via fax at 319-358-2367.

Location: 673 Westbury Dr Ste 201, Iowa City, IA, 52245-2732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609184324
Provider Name
Derrick Rogers Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
673 Westbury Dr Ste 201, Iowa City, IA, 52245-2732
Phone Number
319-356-6352
Fax Number
319-358-2367
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
673 Westbury Dr Ste 201
City
Iowa City
State
Iowa
Zip
52245-2732
Phone Number
319-356-6352
Fax Number
319-358-2367
person
Provider Business Mailing Address Details
Address
673 Westbury Dr Ste 201
City
Iowa City
State
Iowa
Zip
52245-2732
Phone Number
319-356-6352
Fax Number
319-358-2367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
072850 (Iowa)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2010031959 (Missouri)
Definition
Definition to come...
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