Gregory Clark
Gregory Clark is a Mental Health Counselor in Fairfax, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3950 Chain Bridge RdFairfax, VA 22030-3935
Phone: (703) 665-9435
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1811795313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 3, 2025 |
| Last updated in NPPES | March 3, 2025 |
| Certification date | March 3, 2025 |
| Mailing address | 100 James Dr Se, Vienna, VA 22180-6710 |
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