Individual provider · Type 1 NPI

Kevin John Clark

Mental Health Counselor · Brooklyn, NY

NPI number 1609934397 Active

Practice location

32 Court St
Brooklyn, NY 11201-4421

Call (718) 648-0705 Map

Fax (347) 333-3451

Mailing address

47 Cambridge Dr
Jackson, NJ 08527-2641

Other practice locations

  • 32 Court St, Brooklyn, NY 11201-4421 · (718) 648-0705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X000087 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1609934397

Kevin John Clark's National Provider Identifier is 1609934397, issued on Dec 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 7, 2024.