Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vicki Lyne Clark, MED

Individual provider Counselor · NPI 1184790859

Vicki Lyne Clark, MED is a Counselor in Chardon, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
Fax: (440) 285-4552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence E 0002811 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence E 0002811 (OH)

Record details

NPI number1184790859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESSeptember 11, 2025

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