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Individual

DONNAH CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 324-3005
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
172345
KY
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
260504
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
09/26/2012
Last updated
01/09/2020
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