Individual provider · Type 1 NPI

Alysha Clark

Mental Health Counselor · Madison, WI

NPI number 1043600802 Active

Practice location

625 W Washington Ave
Madison, WI 53703-2637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043600802

Alysha Clark's National Provider Identifier is 1043600802, issued on Feb 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Feb 2, 2015.