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Steven Clark
Mental Health Counselor in Centerville, Minnesota
NPI 1932899770

Steven Clark is a Mental Health Counselor based in Centerville, MN and is specialized in Mental Health. Steven Clark practices in Centerville, MN. The NPI Number for Steven Clark is 1932899770 and holds a License No. (Minnesota).

The current practice location address for Steven Clark is 7041 20Th Ave, Centerville, MN and can be reached out via phone at 612-845-4248.

Location: 7041 20Th Ave, Centerville, MN, 55038-9737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932899770
Provider Name
Steven Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
7041 20Th Ave, Centerville, MN, 55038-9737
Phone Number
612-845-4248
Fax Number
Provider Enumeration Date
05/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7041 20Th Ave
City
Centerville
State
Minnesota
Zip
55038-9737
Phone Number
612-845-4248
Fax Number
person
Provider Business Mailing Address Details
Address
7041 20Th Ave
City
Centerville
State
Minnesota
Zip
55038-9737
Phone Number
612-845-4248
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Minnesota)
Definition
Definition to come...
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