Individual
CRYSTAL ALEXIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 GEORGE ST, BECKLEY, WV 25801-2609
(681) 282-6634
Mailing address
406 G ST, BECKLEY, WV 25801-6614
(304) 894-7788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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