Individual
MRS. MELANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1904 ROYAL AVE, MONROE, LA 71201
(318) 323-1505
(318) 323-1361
Mailing address
1904 ROYAL AVE, MONROE, LA 71201-5724
(318) 323-1505
(318) 323-1361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2540
LA
Other
Enumeration date
08/15/2006
Last updated
05/25/2018
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