NPI 1013526631

Sandra Clark, NCCLMHC

Practitioner Mental Health Counselor Bloomington, IN

Practice location

Address: 205 N College Avenue, Suite 210a, Bloomington, IN 47404
Phone: (812) 334-1324

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 39000552A (IN)

Other Counselor providers in Indiana →

Registry record

NPI: 1013526631
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2020
Record last updated: 29 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.