Virginia Gayle Clark in Odessa - Counselor
Virginia Gayle Clark - NPI 1730342049
Virginia Gayle Clark is a Counselor in Odessa, Texas. Virginia Gayle Clark practices all healthcare services and medical treatments related to Counselor. The NPI Number for Virginia Gayle Clark is 1730342049. The last update date is 2008-07-07.
Virginia Gayle Clark's current location address is 4661 Fountain Lane, Odessa, Texas. You can contact this provider via phone number 4325504089. The mailing address for Virginia Gayle Clark is 4661 Fountain Lane, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virginia Gayle Clark |
|---|---|
| Address | 4661 Fountain Lane, Odessa, Texas |
| Phone Number | 4325504089 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1730342049 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 4661 Fountain Lane |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 79761 |
| Phone Number | 4325504089 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 13499 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Virginia Gayle Clark's unique identification number?
The Virginia Gayle Clark has been assigned the NPI (National Provider Identifier) Number 1730342049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Virginia Gayle Clark is geographically located?
The Virginia Gayle Clark is physically situated at the following location: 4661 Fountain Lane, Odessa, TX, 79761.
What is Virginia Gayle Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Virginia Gayle Clark is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730342049 to Virginia Gayle Clark?
The Centers for Medicare & Medicaid Services originally issued the 1730342049 to Virginia Gayle Clark on 2008-07-07.
When was the information pertaining to Virginia Gayle Clark most recently updated or revised?
The details related to Virginia Gayle Clark, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-07.
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