Individual provider · Type 1 NPI

Alice M. Clark, MA, LPC, CACIII

Professional Counselor · Boulder, CO

NPI number 1760495329 Active

Practice location

5377 Manhattan Cir, Suite 200
Boulder, CO 80303-4333

Call (303) 263-7855 Map

Mailing address

1786 Yaupon Ave
Boulder, CO 80304-4364

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X5499 (CO)
Professional Counselor Primary 101YP2500X1687 (CO)

Professional Counselor: Definition to come...

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About NPI 1760495329

Alice M. Clark, MA, LPC, CACIII's National Provider Identifier is 1760495329, issued on Aug 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Mar 21, 2011.