Individual
MR. CLARK DAVID AUSLOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LPSC, NCC
Contact information
Practice address
830 W SOUTH BOUNDARY ST STE A, PERRYSBURG, OH 43551-5238
(419) 931-3020
Mailing address
26863 CARRONADE DR APT 7201, PERRYSBURG, OH 43551-6432
(920) 948-2467
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1700624
OH
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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