| Gregory Scott Clark Jr, | |
|
1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 | |
| (903) 581-0933 | |
| (903) 581-0933 |
| Full Name | Gregory Scott Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1121 E Southeast Loop 323 Ste 204, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881055911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 31769 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 78242 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Scott Clark Jr, 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701-9660 Ph: (903) 581-0933 | Gregory Scott Clark Jr, 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 Ph: (903) 581-0933 |
Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704 | |
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422 | |
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414 | |
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106 | |
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601 | |
Lakeisha Roquemore, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 S Bennett Ave, Tyler, TX 75701 Phone: 903-535-7314 | |
Lenore Strickland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5207 Hollytree Dr Apt 905, Tyler, TX 75703 Phone: 903-539-3158 |