Individual provider · Type 1 NPI
Kelly Clark, MA CAGS
Mental Health Counselor · Milford, MA
NPI number
1598856759
Active
Practice location
171 Main St, Ste 401
Milford, MA 01757
Fax (508) 482-7316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1074 |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1598856759
Kelly Clark, MA CAGS's National Provider Identifier is 1598856759, issued on Sep 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milford, MA. The record was last updated on Jul 8, 2007.