Individual provider · Type 1 NPI

Renee Clark, LPC

Professional Counselor · Leavenworth, KS

NPI number 1306001540 Active

Practice location

500 Limit St
Leavenworth, KS 66048-4435

Call (913) 682-5118 Map

Fax (913) 682-4664

Mailing address

21055 175th St
Tonganoxie, KS 66086-5365

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1921 (KS)

Professional Counselor: Definition to come...

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About NPI 1306001540

Renee Clark, LPC's National Provider Identifier is 1306001540, issued on Jul 28, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leavenworth, KS. The record was last updated on Jul 28, 2008.