Individual
MS. JANICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
325 CLIFTY ST, SOMERSET, KY 42501-1666
(606) 679-9009
(606) 678-9883
Mailing address
325 CLIFTY ST, SOMERSET, KY 42501-1666
(606) 679-9009
(606) 678-9883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0812
KY
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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