Individual
DIANNE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LMHC, CAP, SAP
Contact information
Practice address
778 SAINT ALBANS DR, BOCA RATON, FL 33486-1519
(561) 445-8994
(561) 826-7005
Mailing address
778 SAINT ALBANS DR, BOCA RATON, FL 33486-1519
(561) 445-8994
(561) 826-7005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH 10994
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH 10994
FL
101YM0800X
Mental Health Counselor
MH 10994
FL
101YP2500X
Professional Counselor
Primary
MH 10994
FL
Other
Enumeration date
09/03/2013
Last updated
03/20/2014
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