Fabienne A. Clark
Fabienne A. Clark is a Mental Health Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.
- Licensed in
- PA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
112 N Broad StPhiladelphia, PA 19102-1512
Phone: (215) 568-0860
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence PC016204 (PA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1164188777 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 9, 2021 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
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