Individual
MARY LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5000 W 600 N LOT 9, HUNTINGTON, IN 46750-8970
(260) 241-8034
Mailing address
5000 W 600 N LOT 9, HUNTINGTON, IN 46750-8970
(260) 241-8034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004295A
IN
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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