CHANNING CLARK

COLUMBIA, MD
NPI1306388293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LCPC7470)
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
-- CHANNING CLARK LCPC
4806 TEAL WING CT 104
COLUMBIA, MD 21045-2120
Phone number: 301-254-9608
Mailing Address
-- CHANNING CLARK LCPC
4806 TEAL WING CT 104
COLUMBIA, MD 21045-2120
Phone number: