Individual provider · Type 1 NPI

Kayla Marie Clark, M. ED

Mental Health Counselor · Salt Lake City, UT

NPI number 1679251540 Active

Practice location

340 E 100 S
Salt Lake City, UT 84111-1702

Call (801) 436-7331 Map

Mailing address

201 Roundhill Dr
Christiansburg, VA 24073-3424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704015293 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1679251540

Kayla Marie Clark, M. ED's National Provider Identifier is 1679251540, issued on Jul 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 10, 2023.