Individual
ELIZABETH DONATTO-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3771 MIRANDA LN, COOKEVILLE, TN 38501-5305
(931) 612-9087
Mailing address
3771 MIRANDA LN, COOKEVILLE, TN 38501-5305
(931) 612-9087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3589
TN
Other
Enumeration date
02/09/2016
Last updated
04/04/2023
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