Individual provider · Type 1 NPI

Kent William Clark

Mental Health Counselor · Dubois, PA

NPI number 1700406527 Active

Practice location

490 Jeffers Street
Dubois, PA 15801

Call (814) 731-1100 Map

Mailing address

793 Old Route 119 Hwy North
Indiana, PA 15701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700406527

Kent William Clark's National Provider Identifier is 1700406527, issued on Apr 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dubois, PA. The record was last updated on Apr 22, 2020.