Individual provider · Type 1 NPI

Kathleen A. Clark

Mental Health Counselor · Waterbury, CT

NPI number 1679981666 Active

Practice location

141 E Main St, 3rd Floor
Waterbury, CT 06702-2310

Call (203) 574-9000 Map

Fax (203) 574-9006

Mailing address

141 E Main St Fl 4, 4th Floor Administration
Waterbury, CT 06702-2310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679981666

Kathleen A. Clark's National Provider Identifier is 1679981666, issued on Jul 23, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on Jul 23, 2014.