Individual
DR. HELEN YOLANDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
223 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-5707
(843) 899-2184
Mailing address
223 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-5707
(843) 899-2184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
410155
SC
101YM0800X
Mental Health Counselor
606
SC
1041C0700X
Clinical Social Worker
Primary
2212
SC
106H00000X
Marriage & Family Therapist
193
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0260
—
SC
Enumeration date
05/12/2006
Last updated
07/19/2013
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