Individual
ASHLEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
517 9TH ST, HUNTINGTON, WV 25701-2020
(304) 526-2049
Mailing address
1410 SATTES CIR, NITRO, WV 25143-2339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
WV
101YP2500X
Professional Counselor
Primary
3046
WV
Other
Enumeration date
12/17/2024
Last updated
02/12/2025
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