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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED R CLARK, LSW

Active

FRED R CLARK, LSW is a Professional Counselor healthcare provider located in DUNBAR, West Virginia. NPI 1992894992 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · DUNBAR, WV

Registration Details

NPI Number
1992894992
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2006 (19.799227472579 yrs)
Last Updated
Feb 27, 2008
Licenses
AP00941076 (WV)
1704 (WV)

Practice Information

Address
1020 GROSSCUP AVE
DUNBAR, WV, 250643128
Browse WV providers · Browse ZIP 25064
Phone
3045257851
Fax
3045251073
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in DUNBAR, WV

Name Credential NPI
CHERI L GRIMM LPC, CAC 1821100918
GEORGE E CANTEES LPC, CAC 1154446979
REGINA MARIE GRANT MA 1518178375
JEANNE M JOHNSON LPC 1114196458
ASHLEY M STEIGER LPC 1710327150
BARBARA MARTIN 1316321425
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.