Individual
DR. LISA J CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BROWNSTONE CIR, WILLIAMSBURG, VA 23185-8321
(757) 696-2370
Mailing address
7746 LOWER GATEWAY LOOP UNIT 1624, ORLANDO, FL 32827-7213
(757) 696-2370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-6068
ID
106H00000X
Marriage & Family Therapist
Primary
0717001772
VA
Other
Enumeration date
10/22/2020
Last updated
01/28/2025
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