Individual provider · Type 1 NPI

Katherine Diane Clark, LPC

Professional Counselor · Woodland Park, CO

NPI number 1275791949 Active

Practice location

400 W Midland Ave, Suite 202
Woodland Park, CO 80863-3144

Fax (719) 686-0738

Mailing address

220 Ruskin Dr
Colorado Springs, CO 80910-2522

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1898 (CO)
Registered Nurse 163W00000X91681 (CO)

Professional Counselor: Definition to come...

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About NPI 1275791949

Katherine Diane Clark, LPC's National Provider Identifier is 1275791949, issued on May 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodland Park, CO. The record was last updated on May 29, 2008.