Individual
DANIELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
90 NORTHWOODS BLVD # B1-12, COLUMBUS, OH 43235-4719
(513) 208-9495
Mailing address
90 NORTHWOODS BLVD # B1-12, COLUMBUS, OH 43235-4719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/07/2022
Last updated
04/02/2024
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