Candace Clark, PCC

Professional Counselor · Berea, OH

Individual Active NPI

NPI number 1629327101

Practice location

202 East Bagley Road
Berea, OH 44017-2058
Phone
(800) 234-2006

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NPI record

NPI
1629327101
Entity type
Individual (Type 1)
Enumeration date
August 30, 2012
Last updated
August 30, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X E.0600652 OH

About Candace Clark

Candace Clark, PCC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 202 East Bagley Road, Berea, OH 44017-2058. The NPI number 1629327101 was assigned on August 30, 2012 and the record was last updated on August 30, 2012.

Candace Clark lists a license in the registry: #E.0600652 (OH) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candace Clark, PCC?

The NPI number is 1629327101.

What is the phone number of Candace Clark?

The phone number listed for the practice location is (800) 234-2006.

Where is Candace Clark located?

202 East Bagley Road, Berea, OH 44017-2058.

What is the taxonomy code for Candace Clark?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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