Eric Vinceson Clark Sr.
Eric Vinceson Clark Sr. is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
404 Hearne AveShreveport, LA 71103-2022
Phone: (318) 716-1369
Fax: (318) 675-0120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1588194583 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2017 |
| Last updated in NPPES | June 26, 2023 |
| Certification date | June 26, 2023 |
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Joni Claridy
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Mr. Eric Vinceson Clark Jr., MHS
404 Hearne Ave, Shreveport, LA 71103 · (318) 716-1369
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Erica Clark
2209 Roosevelt Ave, Shreveport, LA 71104-2773 · (318) 219-6224
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MS. Lazaria S Clark
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Marche Clark
4019 Greenwood Rd, Shreveport, LA 71109 · (318) 626-5462
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Shamika Clark
9403 Mansfield Rd, Shreveport, LA 71118-3815 · (318) 861-8938