Individual provider · Type 1 NPI

Kimberly Clark

Mental Health Counselor · Tampa, FL

NPI number 1497236301 Active

Practice location

4107 W Spruce St Ste 100
Tampa, FL 33607-2346

Call (813) 636-8811 Map

Fax (813) 636-8855

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH23885 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1497236301

Kimberly Clark's National Provider Identifier is 1497236301, issued on Aug 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Sep 16, 2025.