Individual provider · Type 1 NPI

Kim Ann Clark

Mental Health Counselor · Dedham, MA

NPI number 1366124158 Active

Practice location

333 Elm St
Dedham, MA 02026-4530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366124158

Kim Ann Clark's National Provider Identifier is 1366124158, issued on Aug 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dedham, MA. The record was last updated on Jul 31, 2025.