MR. STACY CLARK, M. ED
Counselor - Mental Health
Active
Individual
NPI: 1861628380
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1861628380 is the National Provider Identifier for MR. STACY CLARK, M. ED, a Counselor - Mental Health provider located in Chesapeake, VA. This NPI was enumerated on June 10, 2009.
MR. STACY CLARK, M. ED practices at 2156 SEASTONE TRCE, Chesapeake, VA 23321.
Quick Facts
- NPI
- 1861628380
- Type
- Individual
- Enumerated
- Jun 10, 2009
- Last Updated
- Jun 10, 2009
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