Individual provider · Type 1 NPI

Clark Maxon

Mental Health Counselor · Colorado Springs, CO

NPI number 1043820673 Active

Practice location

6180 Lehman Dr
Colorado Springs, CO 80918-3444

Call (719) 492-6186 Map

Mailing address

2325 Distinctive Dr
Colorado Springs, CO 80920-3803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043820673

Clark Maxon's National Provider Identifier is 1043820673, issued on Aug 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 7, 2020.