Individual
AVA L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMHCI
Contact information
Practice address
11932 FAIRWAY LAKES DR, FORT MYERS, FL 33913-8337
(239) 237-2801
Mailing address
2033 MARSH POINT RD, NEPTUNE BEACH, FL 32266-1630
(904) 534-2328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
26173
FL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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