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Individual

MR. CHARLES FRENCH CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, NCC

Contact information

Practice address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(703) 534-5100
Mailing address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(703) 534-5100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005796
VA

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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