| Anne Clark, LPCC | |
|
1115 N Shoop Ave Ste 1, Wauseon, OH 43567-1857 | |
| (419) 335-6122 | |
| (419) 318-4157 |
| Full Name | Anne Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1115 N Shoop Ave Ste 1, Wauseon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922299122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E4140 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 031136 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Clark, LPCC 1115 N Shoop Ave Ste 1, Wauseon, OH 43567-1857 Ph: (419) 335-6122 | Anne Clark, LPCC 1115 N Shoop Ave Ste 1, Wauseon, OH 43567-1857 Ph: (419) 335-6122 |
Emily Stockham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 County Road D, Wauseon, OH 43567 Phone: 567-454-0340 | |
George Boykin Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3491 State Route 108, Wauseon, OH 43567 Phone: 419-335-5533 | |
Lisette Schuette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Elm St, Wauseon, OH 43567 Phone: 419-337-0130 | |
Angie Ellen Burton, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7320 State Route 108 Ste A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Mrs. Betty Jane Tingley, LSW Counselor Medicare: Medicare Enrolled Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3723 Fax: 419-335-3462 | |
Sarah Domoe, IBCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Pine St, Wauseon, OH 43567 Phone: 419-345-0902 | |
Mrs. Joy Dianne Fruchey, MSW, LSW, CTS Counselor Medicare: Accepting Medicare Assignments Practice Location: 1115 S Shoop Avenue, Wauseon, OH 43567 Phone: 419-335-6122 Fax: 419-318-4157 |