Kristina M Clark, LPC Valid NPI
Individual provider · Mental Health Counselor · Charleston, WV
- NPI
- 1083173702
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2398 (WV)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-03-13
- Last updated
- 2024-09-05
Practice location
511 Morris St
Charleston, WV 25301-1326
(304) 525-7851