Individual
MS. ANDREA CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 W 57TH ST, 8TH FLOOR, NEW YORK, NY 10019-3320
(212) 632-4674
(212) 632-4495
Mailing address
120 W 57TH ST, 8TH FLOOR, NEW YORK, NY 10019-3320
(212) 632-4674
(212) 632-4495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
069627-1
NY
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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