Evelyn C Clark
Professional Counselor
527 N Meridian Rd
Youngstown
, Ohio 44509-1227
Evelyn C Clark
Professional Counselor
527 N Meridian Rd
Youngstown
, Ohio 44509-1227
(330) 797-0070
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Evelyn C Clark
- 527 N Meridian Rd
- Youngstown, OH
- Zip : 44509-1227
- Fax : (330) 797-0070
- Phone : (330) 259-8584
Second Address
- Evelyn C Clark
- 527 N Meridian Rd
- Youngstown, OH
- Zip : 44509-1227
- Phone : (330) 797-0070
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP2500X | Professional Counselor | E.1200386 | OH |
| Y | 101YP2500X | Professional Counselor | E.1200386-SUPV | OH |
National Provider Identifier
| NPI | 1003267915 |
|---|---|
| Provider Name | Evelyn C Clark |
| First Address | Youngstown, OH 44509-1227 |
| Second Address | Youngstown, OH 44509-1227 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2016 |
| Last Update Date | 28/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.