Individual
MRS. EDNA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 N WELLINGTON ST, MARSHALL, TX 75670-3335
(903) 938-4476
(903) 938-4125
Mailing address
PO BOX 8317, MARSHALL, TX 75671-8317
(903) 938-4476
(903) 938-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6208
TX
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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