Individual
CHANNING CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4806 TEAL WING CT, 104, COLUMBIA, MD 21045-2120
(301) 254-9608
Mailing address
8101 SANDY SPRING RD STE 300, LAUREL, MD 20707-3596
(410) 564-6893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC7470
MD
Other
Enumeration date
11/09/2016
Last updated
12/30/2025
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