Individual
MS. MARY COLLEEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
790 CLEVELAND AVE S STE 223, SAINT PAUL, MN 55116-3867
(612) 552-1230
Mailing address
2136 FORD PKWY, SAINT PAUL, MN 55116-2850
(612) 552-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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