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Lisa S Clark
Mental Health Counselor in Melbourne, Florida
NPI 1952680324

Lisa S Clark is a Mental Health Counselor based in Rockledge, FL and is specialized in Mental Health. Lisa S Clark practices in Melbourne, FL. The NPI Number for Lisa S Clark is 1952680324 and holds a License No. (Florida).

The current practice location address for Lisa S Clark is 1301 W Eau Gallie Blvd, Melbourne, FL and can be reached out via phone at 321-421-6992.

Location: 1301 W Eau Gallie Blvd, Melbourne, FL, 32955-8403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952680324
Provider Name
Lisa S Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 W Eau Gallie Blvd, Melbourne, FL, 32955-8403
Phone Number
321-421-6992
Fax Number
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935
Phone Number
321-421-6992
Fax Number
person
Provider Business Mailing Address Details
Address
1301 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935
Phone Number
321-421-6992
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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