Individual
DORIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S, NCC, LPC
Contact information
Practice address
23 BUENA VISTA WAY STE B, GREENVILLE, SC 29615-5092
(864) 485-9195
Mailing address
23 BUENA VISTA WAY STE B, GREENVILLE, SC 29615-5092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9910
SC
Other
Enumeration date
06/21/2022
Last updated
10/29/2024
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