Most Relevant Information
Provider Data
| NPI Number: | 1003267915 |
| Provider Name: | EVELYN C CLARK LPCC-S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | E.1200386-SUPV |
Most Important Dates
| Enumeration Date: | 06/22/2016 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
527 N MERIDIAN RD
YOUNGSTOWN
OH
445091227
Practice Location Phone/Fax
| Phone: | 3307970070 |
| Fax: |
Provider Mailing Location
527 N MERIDIAN RD
YOUNGSTOWN
OH
445091227
Provider Mailing Phone/Fax
| Phone: | 3302598584 |
| Fax: | 3307970070 |