SearchVirginia101YM0800X

Monique Clark, QMHP

NPI 1760184303 · on the registry since 2023

Practice

Address
132 N Sycamore St # 27
Petersburg, VA 23803
Phone
(804) 955-7332

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-20

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 Virginia