BENJAMIN CLARK

COLLINSVILLE, IL
NPI1053083436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
BENJAMIN CLARK LPC
2014 VANDALIA ST
COLLINSVILLE, IL 62234-4848
Phone number: 618-345-9536
Mailing Address
BENJAMIN CLARK LPC
2014 VANDALIA ST
COLLINSVILLE, IL 62234-4848
Phone number: 618-345-9536
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