person
Mrs. Carol Denise Clark, LMHC
Mental Health Counselor in Cocoa, Florida
NPI 1841571064

Carol Denise Clark is a Mental Health Counselor based in Cocoa, FL and is specialized in Mental Health. Carol Denise Clark practices in Cocoa, FL and has the professional credentials of LMHC. The NPI Number for Carol Denise Clark is 1841571064 and holds a License No. MH10894 (Florida).

The current practice location address for Carol Denise Clark is 3905 Grissom Pkwy, Cocoa, FL and can be reached out via phone at 321-637-1866 and via fax at 321-637-7227.

Location: 3905 Grissom Pkwy, Cocoa, FL, 32927-3955
person
Provider Profile Details
NPI Number
1841571064
Provider Name
Carol Denise Clark
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
3905 Grissom Pkwy, Cocoa, FL, 32927-3955
Phone Number
321-637-1866
Fax Number
321-637-7227
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3905 Grissom Pkwy
City
State
Zip
32926-3669
Phone Number
321-637-1866
Fax Number
321-637-7227
person
Provider Business Mailing Address Details
Address
3905 Grissom Pkwy
City
State
Zip
32926-3669
Phone Number
321-637-1866
Fax Number
321-637-7227
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH10894 (Florida)
Definition
Definition to come...
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