DR. MARYLYN CLARK, PH D

Marriage & Family Therapist

Active Individual
NPI: 1528114451

Practice Address

222 WEST GURLEY ST. SUITE 105
Prescott, AZ 86301

Phone: (928) 778-1806

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No LISAC11094 (AZ)
Marriage & Family Therapist 106H00000X Yes LMFT0053 (AZ)

Frequently Asked Questions

NPI 1528114451 is the National Provider Identifier for DR. MARYLYN CLARK, PH D, a Marriage & Family Therapist provider located in Prescott, AZ. This NPI was enumerated on January 25, 2007.
DR. MARYLYN CLARK, PH D practices at 222 WEST GURLEY ST. SUITE 105, Prescott, AZ 86301.

Quick Facts

NPI
1528114451
Type
Individual
Enumerated
Jan 25, 2007
Last Updated
Jul 2, 2013

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