Individual
ALISHA SHANTEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9613 HARFORD RD STE 3, PARKVILLE, MD 21234-2150
(410) 714-0775
(443) 380-2886
Mailing address
2701 JEREMY CT APT A, BALTIMORE, MD 21209-3062
(443) 226-1966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC17223
MD
Other
Enumeration date
01/12/2024
Last updated
01/09/2026
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