Individual
ANGELA MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1001 N 29TH ST, COUNCIL BLUFFS, IA 51501-0755
(402) 660-7454
Mailing address
2827 AVENUE K, COUNCIL BLUFFS, IA 51501-0779
(402) 660-7454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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