Individual provider · Type 1 NPI

Kevin Clark, LMHC

Mental Health Counselor · Raynham, MA

NPI number 1487913232 Active

Practice location

1244 Broadway
Raynham, MA 02767-1973

Mailing address

269 Greenville Ave Ste E
Johnston, RI 02919-2656

Other practice locations

  • 269 Greenville Ave Ste E, Johnston, RI 02919-2656 · (401) 251-7200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487913232

Kevin Clark, LMHC's National Provider Identifier is 1487913232, issued on May 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raynham, MA. The record was last updated on Oct 13, 2026.