Individual
BRENDA CRAWFORD-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
2240 TWELVE OAKS WAY STE 101, WESLEY CHAPEL, FL 33544-6970
(813) 504-0360
(813) 591-6188
Mailing address
PO BOX 46458, TAMPA, FL 33646-0104
(813) 504-0360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LMHC 5109
FL
106H00000X
Marriage & Family Therapist
Primary
LMFT 1808
FL
Other
Enumeration date
08/22/2013
Last updated
08/15/2024
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