IndividualActive
Adeline Clark, LPC-S
NPI 1508184946 · Professional Counselor · Georgetown, TX
Provider details
- NPI number
- 1508184946
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-S
- Sex
- Female
- Sole proprietor
- No
- License
- LPCS70788 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
207 Susana Dr
Georgetown, TX 78628-8736
Phone: (443) 621-2835
Approximate (ZIP-level) locationGet directions
Mailing address
207 Susana Dr
Georgetown, TX 78628-8736
Additional practice locations (1)
- 610 E Diamond AveSuite 100aGaithersburg, MD 20877-5321Phone: (301) 840-3200Fax: (301) 840-1348
Registry dates
- Enumerated
- 2010-05-10
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.