Individual provider · Type 1 NPI

Kelsey Lynn Clark, SSW

Mental Health Counselor · Salt Lake City, UT

NPI number 1679870604 Active

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Call (801) 263-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X289659-3503 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1679870604

Kelsey Lynn Clark, SSW's National Provider Identifier is 1679870604, issued on Feb 28, 2011. 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 Feb 28, 2011.