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Individual

ELLEN ESTELLE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
1700 POST OAK BLVD STE 600, HOUSTON, TX 77056-3973
(800) 892-2695
Mailing address
200 LOWRIE DR, HENDERSON, TX 75652-3308
(430) 280-4432

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12293
TX

Other

Enumeration date
11/23/2021
Last updated
01/10/2024
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