DERRICK CLARK, LPC
Counselor - Mental Health
Active
Individual
NPI: 1609184324
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | 2010031959 (MO) |
| Counselor - Mental Health | 101YM0800X | Yes | 072850 (IA) |
Frequently Asked Questions
NPI 1609184324 is the National Provider Identifier for DERRICK CLARK, LPC, a Counselor - Mental Health provider located in Iowa City, IA. This NPI was enumerated on September 15, 2010.
DERRICK CLARK, LPC practices at 673 WESTBURY DR STE 201, Iowa City, IA 52245.
Quick Facts
- NPI
- 1609184324
- Type
- Individual
- Enumerated
- Sep 15, 2010
- Last Updated
- Feb 16, 2022
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