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NPI Code Detail

MEDICARE: STEPHANIE KNIGHT CLARKE LPC

MEDICARE: STEPHANIE KNIGHT CLARKE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2020WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609126440
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KNIGHT CLARKE LPC
Provider Business Mailing Address
First Line : 2406 KANAWHA BLVD E
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2323
Country : US
Telephone Number : 304-546-4640
Fax Number :
Provider Business Practice Location Address
First Line : 2406 KANAWHA BLVD E
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2323
Country : US
Telephone Number : 304-539-0342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 03/24/2026

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