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Desda Clark, MA,LPC
Professional Counselor in Parkville, Missouri
NPI 1932413093

Desda Clark is a Professional Counselor based in Parkville, MO and is specialized in Professional. Desda Clark practices in Parkville, MO and has the professional credentials of MA,LPC. The NPI Number for Desda Clark is 1932413093 and holds a License No. 2008012808 (Missouri).

The current practice location address for Desda Clark is 8129 Nw Walnut Way, Parkville, MO and can be reached out via phone at 816-510-6622.

Location: 8129 Nw Walnut Way, Parkville, MO, 64152-6103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932413093
Provider Name
Desda Clark
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
8129 Nw Walnut Way, Parkville, MO, 64152-6103
Phone Number
816-510-6622
Fax Number
Provider Enumeration Date
08/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12132523 01 CAQH
institution
Provider Business Practice Location Address Details
Address
8129 Nw Walnut Way
City
Parkville
State
Missouri
Zip
64152-6103
Phone Number
816-510-6622
Fax Number
person
Provider Business Mailing Address Details
Address
8129 Nw Walnut Way
City
Parkville
State
Missouri
Zip
64152-6103
Phone Number
816-510-6622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2008012808 (Missouri)
Definition
Definition to come...
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