Individual
MRS. ANNA S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
203 STILLWATER AVE, OLD TOWN, ME 04468-1665
(207) 404-8000
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6601
TN
101YP2500X
Professional Counselor
Primary
CC7638
ME
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/10/2020
Last updated
08/06/2025
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