Individual provider · Type 1 NPI

Shay Clark, APC

Mental Health Counselor · South Jordan, UT

NPI number 1144569112 Active

Practice location

1258 W South Jordan Pkwy
South Jordan, UT 84095-4711

Call (801) 255-1155 Map

Mailing address

350 Wood Dr
Alpine, UT 84004-2604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X80827886009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1144569112

Shay Clark, APC's National Provider Identifier is 1144569112, issued on Feb 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Jordan, UT. The record was last updated on Feb 11, 2013.