LISA T CLARK LPC
NPI 1134493273
Counselor - Professional in Tempe, AZ
Active since March 07, 2012
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282(480) 804-0326(480) 302-7884 Get Directions Write a Review
About Lisa T Clark Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA T CLARK LPC (NPI 1134493273) is an individual professional provider in Tempe, Arizona, licensed in Arizona (LPC-2365) and active in the NPI registry since March 2012.
NPPES Registry Identity
NPI1134493273
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA T CLARKCredential: LPC
Location Address2120 S MCCLINTOCK DR, SUITE 105Tempe, AZ 85282-2692
Mailing Address2120 S Mcclintock Dr, Suite 105Tempe, AZ 85282-2692 · (480) 804-0326 · Fax (480) 302-7884
Phone(480) 804-0326
Fax(480) 302-7884
Sole ProprietorNo
Enumeration DateMarch 7, 2012
✔ NPI 1134493273 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-2365
2120 S MCCLINTOCK DR, Tempe, AZ 85282
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
TEMPE, AZ 85282
Marriage & Family Therapist
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
TEMPE, AZ 85282
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134493273, enumerated as an "individual" on March 07, 2012.
The provider is located at 2120 S MCCLINTOCK DR SUITE 105 TEMPE, AZ 85282 and the phone number is (480) 804-0326.
Counselor with taxonomy code 101YP2500X and a focus in Professional.