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Heather Nicole Clark, MA,MFT
Counselor in Hartsville, South Carolina
NPI 1861983116

Heather Nicole Clark is a Counselor based in Hartsville, SC. Heather Nicole Clark practices in Hartsville, SC and has the professional credentials of MA,MFT. The NPI Number for Heather Nicole Clark is 1861983116 and holds a License No. (South Carolina).

The current practice location address for Heather Nicole Clark is 510 E Carolina Ave, Hartsville, SC and can be reached out via phone at 843-332-4156 and via fax at 843-332-4159.

Location: 510 E Carolina Ave, Hartsville, SC, 29550-4396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861983116
Provider Name
Heather Nicole Clark
Credential
MA,MFT
Provider Entity Type
Individual
Gender
Female
Address
510 E Carolina Ave, Hartsville, SC, 29550-4396
Phone Number
843-332-4156
Fax Number
843-332-4159
Provider Enumeration Date
05/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
510 E Carolina Ave
City
Hartsville
State
South Carolina
Zip
29550-4396
Phone Number
843-332-4156
Fax Number
843-332-4159
person
Provider Business Mailing Address Details
Address
510 E Carolina Ave
City
Hartsville
State
South Carolina
Zip
29550-4396
Phone Number
843-332-4156
Fax Number
843-332-4159
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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