Lisa S Clark
Lisa S Clark is a Mental Health Counselor in Melbourne, Florida. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1301 W Eau Gallie Blvd Ste 96Melbourne, FL 32935
Phone: (321) 421-6992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1952680324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 16, 2011 |
| Last updated in NPPES | May 27, 2021 |
| Certification date | May 27, 2021 |
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