Individual
MRS. KATHERINE WHITESIDE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
3104 BLUE LAKE DR, SUITE 100, BIRMINGHAM, AL 35243-2345
(205) 977-3003
(205) 977-3939
Mailing address
3104 BLUE LAKE DR, SUITE 100, BIRMINGHAM, AL 35243-2345
(205) 977-3003
(205) 977-3939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2471
AL
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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