Individual
MISS ANNIE CATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
220 CLAY DR, POUNDING MILL, VA 24637-4320
(276) 963-3606
Mailing address
220 CLAY DR, POUNDING MILL, VA 24637-4320
(276) 963-3606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012434
VA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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