Deborah Clark, L.P.C.
Individual provider Active NPI Professional Counselor · Mount Joy, PA
NPI 1033536792 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1033536792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC004288 (PA)
- Practice address
- 410 S Angle St
Mount Joy, PA 17552-2031 - Phone
- (717) 653-1507
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004288 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Counseling Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004288 | PA | Yes |
Addresses
Primary practice location
410 S Angle St
Mount Joy, PA 17552-2031
Mailing address
30 Naomi Ave
Landisville, PA 17538-1312
Other providers in Mount Joy, PA
- Care Connect Transport Services LLC
- Steven D. Cawley
- Channel Behavioral Care PA LLC
- Catherine Christmas
- Kelly Marie Clancy
- Anne Regina Cotter
- Nancy Cotton
- Eldra W Daniels
- Darrenkamps Mt Joy Market Inc
- Dezire Diaz
All providers in Mount Joy, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.