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Brandon C Clark
Counselor in Deerfield Beach, Florida
NPI 1871872416

Brandon C Clark is a Counselor based in Port Wentworth, FL. Brandon C Clark practices in Deerfield Beach, FL. The NPI Number for Brandon C Clark is 1871872416 and holds a License No. 103K00000X (Florida).

The current practice location address for Brandon C Clark is 500 Fairway Dr, Deerfield Beach, FL and can be reached out via phone at 954-603-7885. You can also correspond with Brandon C Clark through the mailing address at 6 ROSEBERRY CIR, PORT WENTWORTH, GA - 31407-5612 (mailing address contact number: 850-567-5657).

Location: 500 Fairway Dr, Deerfield Beach, FL, 31407-5612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871872416
Provider Name
Brandon C Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 Fairway Dr, Deerfield Beach, FL, 31407-5612
Phone Number
954-603-7885
Fax Number
Provider Enumeration Date
08/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Fairway Dr
City
Deerfield Beach
State
Florida
Zip
33441-1814
Phone Number
954-603-7885
Fax Number
person
Provider Business Mailing Address Details
Address
500 Fairway Dr
City
Deerfield Beach
State
Florida
Zip
33441-1814
Phone Number
954-603-7885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
103K00000X (Florida)
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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