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Individual
COURTNEY A CLARK
Active
Individual
COURTNEY A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2002030
AR
101YP2500X
Professional Counselor
P2309005
AR
Other
Enumeration date
02/18/2020
Last updated
10/23/2024
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