Individual
COURTNEY DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
502 MOCKINGBIRD DR, CROSSVILLE, TN 38555-5836
(931) 787-2551
Mailing address
502 MOCKINGBIRD DR, CROSSVILLE, TN 38555-5836
(931) 787-2551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000004337
TN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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