Individual provider · Type 1 NPI

Kristina M. Clark, LPC

Mental Health Counselor · Charleston, WV

NPI number 1083173702 Active

Practice location

511 Morris St
Charleston, WV 25301-1326

Fax (304) 525-1073

Mailing address

99 Cracker Barrel Dr Ste 100
Barboursville, WV 25504-1650

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2398 (WV)

Mental Health Counselor: Definition to come...

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About NPI 1083173702

Kristina M. Clark, LPC's National Provider Identifier is 1083173702, issued on Mar 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, WV. The record was last updated on Sep 5, 2024.