Individual
ELIZABETH RICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1407 E 6TH ST, WASHINGTON, MO 63090-3501
(314) 452-9048
Mailing address
1407 E 6TH ST, WASHINGTON, MO 63090-3501
(314) 452-9048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013029337
MO
Other
Enumeration date
04/13/2022
Last updated
09/08/2022
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