Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLASS BURNS CLARK, M.DIV
Active Sole ProprietorMarriage & Family Therapist · CANAAN, NY
Registration Details
- NPI Number
- 1386470789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2024 (1.618618694311 yrs)
- Last Updated
- Sep 11, 2024
- License
-
000546 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1559 COUNTY ROUTE 5CANAAN, NY, 12029Browse NY providers · Browse ZIP 12029
- Phone
- 9179682493
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.