Individual provider · Type 1 NPI

Gregory Clark

Mental Health Counselor · Prairie Du Chien, WI

NPI number 1164409728 Active

About NPI 1164409728

Gregory Clark's National Provider Identifier is 1164409728, issued on Dec 26, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prairie Du Chien, WI. The record was last updated on Jul 8, 2007.