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Contact Information

HENRY W CLARK, M.A., LPC
409 VANDIVER WEST BLDG 6, SUITE 102A
GREAT CIRCLE
COLUMBIA, MO65202
 Phone: 573-442-8331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for HENRY W CLARK · (Male)

NPI # 1235669037
Status Active
Credentials M.A., LPC
Entity Individual
Enumeration date 06/14/2017
Last updated 12/18/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 002440
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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