Individual
SHAUNA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
(603) 357-9648
Mailing address
64 MAIN ST, KEENE, NH 03431-3701
(603) 283-1570
(603) 357-9648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1138
NH
Other
Enumeration date
08/17/2016
Last updated
07/08/2025
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