Individual provider · Type 1 NPI
Lafayette Clark
Mental Health Counselor · Las Vegas, NV
NPI number
1104253244
Active
Practice location
3941 Asimov Pl
Las Vegas, NV 89115-0386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104253244
Lafayette Clark's National Provider Identifier is 1104253244, issued on Oct 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 3, 2013.