Individual
MRS. AMBER MARIAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4 CARRIAGE LN STE 405, CHARLESTON, SC 29407-6024
(843) 974-5934
(843) 790-9296
Mailing address
3050 NANTUCKETT AVE, NORTH CHARLESTON, SC 29420-8973
(904) 806-1539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7367
SC
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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