Individual
MRS. ALLISON RAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 932-8624
Mailing address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1902217
OH
101YM0800X
Mental Health Counselor
Primary
E.2202995
OH
Other
Enumeration date
01/15/2019
Last updated
01/30/2023
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