Organization
A. LISA CLARK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LISA CLARK LISW-S, LICDC-CS (OWNER)
(216) 346-7692
Entity
Organization
Contact information
Practice address
6797 N HIGH ST, STE 223, WORTHINGTON, OH 43085-2533
(614) 885-0891
Mailing address
433 VISTA DR, GAHANNA, OH 43230-5905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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