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Tina Clark, LPC
NPI 1730327040 · on the registry since 2009
Practice
- Address
- 221 West Main Street
Jefferson, NC 28640 - Phone
- (336) 246-4542
- Organisation at this address
- New River Service Authority
Daymark Recovery .Services Inc
New River Mental Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina