Individual provider · Type 1 NPI

Teryl L. Clark, LCSW

Professional Counselor · American Fork, UT

NPI number 1588097786 Active

Practice location

789 Bamberger Dr, Suite A
American Fork, UT 84003-2181

Mailing address

13478 S Lone Rock
Draper, UT 84020

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5970987-3501 (UT)

Professional Counselor: Definition to come...

6 other providers at this address

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About NPI 1588097786

Teryl L. Clark, LCSW's National Provider Identifier is 1588097786, issued on Aug 12, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in American Fork, UT. The record was last updated on Aug 12, 2013.