Organization
MARIA CLARK LLC
Active
Other names
Maria Clark LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CLARK MS (LIMHP)
(402) 536-9568
Entity
Organization
Contact information
Practice address
1620 WILSHIRE DR STE 222, BELLEVUE, NE 68005-6600
(402) 536-9568
(402) 905-4767
Mailing address
2613 BLACKHAWK DR, BELLEVUE, NE 68123-3707
(402) 536-9568
(402) 905-4767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1579
NE
101YP2500X
Professional Counselor
Primary
1579
NE
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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