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Virginia Gayle Clark, LPC
Counselor in Odessa, Texas
NPI 1730342049

Virginia Gayle Clark is a Counselor based in Odessa, TX. Virginia Gayle Clark practices in Odessa, TX and has the professional credentials of LPC. The NPI Number for Virginia Gayle Clark is 1730342049 and holds a License No. 13499 (Texas).

The current practice location address for Virginia Gayle Clark is 4661 Fountain Ln, Odessa, TX and can be reached out via phone at 432-550-4089.

Location: 4661 Fountain Ln, Odessa, TX, 79761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730342049
Provider Name
Virginia Gayle Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4661 Fountain Ln, Odessa, TX, 79761
Phone Number
432-550-4089
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4661 Fountain Ln
City
Odessa
State
Texas
Zip
79761-1912
Phone Number
432-550-4089
Fax Number
person
Provider Business Mailing Address Details
Address
4661 Fountain Ln
City
Odessa
State
Texas
Zip
79761-1912
Phone Number
432-550-4089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
13499 (Texas)
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.
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