Gloria Clark, LMHC Valid NPI
Individual provider · Counselor · Tavares, FL
- NPI
- 1154795276
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- MH 13844 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-12-01
- Last updated
- 2015-12-01
Practice location
1300 S Duncan Dr, Building E
Tavares, FL 32778-4223
(352) 343-0752