Individual
BRIAN CHRISTOPHER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 BULVERDE RD, SUITE 108, BULVERDE, TX 78163-2107
(210) 287-4788
Mailing address
1655 ROLLING RIVER VW, SPRING BRANCH, TX 78070-5860
(210) 287-4788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60635
TX
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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