Individual provider · Type 1 NPI

Brian Clark

Mental Health Counselor · Moorhead, MN

NPI number 1730509787 Active

Practice location

891 Belsly Blvd
Moorhead, MN 56560-5055

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730509787

Brian Clark's National Provider Identifier is 1730509787, issued on Apr 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moorhead, MN. The record was last updated on Apr 17, 2014.