Individual provider · Type 1 NPI
Dorthea A. Clark, MA IN MENTAL HEALTH
Mental Health Counselor · Cheyenne, WY
NPI number
1154196665
Active
Practice location
4025 Rawlins St
Cheyenne, WY 82001-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PPC-1416 (WY) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Cheyenne
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About NPI 1154196665
Dorthea A. Clark, MA IN MENTAL HEALTH's National Provider Identifier is 1154196665, issued on Nov 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheyenne, WY. The record was last updated on Nov 15, 2023.