| John D Clark, LPC | |
|
235 S Water St, Martinsburg, WV 25401-4241 | |
| (304) 263-8954 | |
| Not Available |
| Full Name | John D Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 235 S Water St, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235223041 | NPI | - | NPPES |
| 0023817001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401007651 (Michigan) | Primary |
| Entity Name | Eastern Panhandle Mental Health (rehab) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427197748 PECOS PAC ID: 3375532633 Enrollment ID: O20040511000813 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Clark, LPC 235 S Water St, Martinsburg, WV 25401-4241 Ph: (304) 263-8954 | John D Clark, LPC 235 S Water St, Martinsburg, WV 25401-4241 Ph: (304) 263-8954 |
Ms. Ginger Mortimer O'connell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 W John St, Martinsburg, WV 25401 Phone: 304-263-0345 Fax: 304-263-0367 | |
Mrs. Cassidy Morris, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 E Martin St Ste 6, Martinsburg, WV 25401 Phone: 304-260-6360 Fax: 304-260-6459 | |
Hannah Ansel Carl, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Foxcroft Ave Ste 300, Martinsburg, WV 25401 Phone: 304-596-2390 | |
Isvera Zondo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S Water St, Martinsburg, WV 25401 Phone: 304-263-8954 Fax: 304-264-0763 | |
Nick George Vindivich Iii, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Emmett Rousch Dr, Martinsburg, WV 25401 Phone: 304-262-9831 | |
Lydia Roderick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Sentry Ln, Martinsburg, WV 25401 Phone: 410-810-4598 | |
Mary Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 E Martin St Ste 6, Martinsburg, WV 25401 Phone: 304-260-6360 |