Individual provider · Type 1 NPI

Crystal Michelle Clark

Mental Health Counselor · Lees Summit, MO

NPI number 1205797438 Active

Practice location

901 NE Independence Ave
Lees Summit, MO 64086-5544

Mailing address

1602 Southwest Blvd
Kansas City, KS 66103-1749

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205797438

Crystal Michelle Clark's National Provider Identifier is 1205797438, issued on Nov 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lees Summit, MO. The record was last updated on Nov 18, 2025.