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Individual

MRS. HEATHER E CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LCPC

Contact information

Practice address
700 MELVIN AVE, SUITE 5, ANNAPOLIS, MD 21401-1514
(410) 280-9444
Mailing address
2415 HUIDEKOPER PL NW, WASHINGTON, DC 20007-1827
(202) 556-4435
(202) 554-9456

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011991
VA
101YM0800X
Mental Health Counselor
LC10902
MD
101YM0800X
Mental Health Counselor
Primary
PRC200001306
DC
101YM0800X
Mental Health Counselor
TPMC4050
FL

Other

Enumeration date
10/18/2016
Last updated
10/01/2024
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