Joan Marie Clark is a Professional in Bryan, Texas. Joan Marie Clark practices all healthcare services and medical treatments related to Professional. The NPI Number for Joan Marie Clark is 1073531125. The last update date is 2007-07-09.
Joan Marie Clark's current location address is 2402 Broadmoor Dr, Bryan, Texas. You can contact this provider via phone number 9797744134 and fax number 9797764804. The mailing address for Joan Marie Clark is 2402 Broadmoor Dr, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Marie Clark |
|---|---|
| Address | 2402 Broadmoor Dr, Bryan, Texas |
| Phone Number | 9797744134 |
| Fax Number | 9797764804 |
| Sole Proprietor | Y |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1073531125 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2402 Broadmoor Dr |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 778022847 |
| Phone Number | 9797744134 |
| Fax Number | 9797764804 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 12842 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Joan Marie Clark's 1073531125?
The Joan Marie Clark's NPI (National Provider Identifier) Number is 1073531125. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joan Marie Clark is located?
The Joan Marie Clark is situated at the following address: 2402 Broadmoor Dr, Bryan, TX, 778022847.
What is Joan Marie Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joan Marie Clark's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Joan Marie Clark receive its 1073531125 assignment from the Centers for Medicare & Medicaid Services?
The Joan Marie Clark was assigned its 1073531125 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information regarding Joan Marie Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joan Marie Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC