Individual
EMILY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
1160 N HIGH ST, COLUMBUS, OH 43201-2411
(614) 930-2267
(614) 930-2267
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 930-2267
(614) 930-2267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0800139-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274411
—
OH
Enumeration date
04/15/2014
Last updated
04/15/2014
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