Individual
JOHNCIE LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
501 HOWARD AVE STE 104, ALTOONA, PA 16601-4810
(814) 889-2141
(814) 889-6403
Mailing address
501 HOWARD AVE STE 104, ALTOONA, PA 16601-4810
(814) 889-2141
(814) 889-6403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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