Individual provider · Type 1 NPI

Rebecca Clark, LPC

Professional Counselor · Goddard, KS

NPI number 1144761099 Active

Practice location

24401 W 39th St S
Goddard, KS 67052-8713

Mailing address

1981 N Mcrae Ct
Goddard, KS 67052-8579

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3044 (KS)

Professional Counselor: Definition to come...

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About NPI 1144761099

Rebecca Clark, LPC's National Provider Identifier is 1144761099, issued on Mar 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Goddard, KS. The record was last updated on Mar 11, 2017.