Individual
KIRSTEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 NASHVILLE AVE, NEW ORLEANS, LA 70115-3227
(504) 605-4095
Mailing address
1325 ANNUNCIATION ST APT 451, NEW ORLEANS, LA 70130-4075
(832) 723-6641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7812
LA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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