Individual
KATHLEEN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MBA, CAADC
Contact information
Practice address
1315 LEEDOM RD, HAVERTOWN, PA 19083-4803
(215) 680-6792
Mailing address
1315 LEEDOM RD, HAVERTOWN, PA 19083-4803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
101Y00000X
Counselor
—
—
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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