Individual
ELIZABETH SIMON-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5401 JACKSON ST STE B, ALEXANDRIA, LA 71303-2595
(318) 265-7134
Mailing address
405 SKYBLUE DR, PINEVILLE, LA 71360-9002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5839
LA
101YP2500X
Professional Counselor
PLC5839
LA
Other
Enumeration date
06/18/2018
Last updated
11/04/2021
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