Provider Demographics
NPI:1447445432
Name:CLARK, RHONDA JOANNE (LPC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JOANNE
Last Name:CLARK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 INDIAN SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:PA
Mailing Address - Zip Code:16650-7965
Mailing Address - Country:US
Mailing Address - Phone:814-766-2421
Mailing Address - Fax:814-766-2425
Practice Address - Street 1:227 INDIAN SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:PA
Practice Address - Zip Code:16650-7965
Practice Address - Country:US
Practice Address - Phone:814-766-2421
Practice Address - Fax:814-766-2425
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional