Individual provider · Type 1 NPI

Camille Clark

Professional Counselor · Salt Lake City, UT

NPI number 1164664355 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Call (801) 330-1864 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X363735-6004 (UT)

Professional Counselor: Definition to come...

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About NPI 1164664355

Camille Clark's National Provider Identifier is 1164664355, issued on Apr 2, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 19, 2010.