Individual provider · Type 1 NPI

Katelyn E. Clark, LAC

Addiction (Substance Use Disorder) Counselor · Lakewood, CO

NPI number 1861093049 Active

Practice location

8805 W 14th Ave Ste 300
Lakewood, CO 80215-4848

Fax (720) 316-7577

Other practice locations

  • 7431 Fortman Ave, Fountain, CO 80817-1403 · (142) 526-9720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002029 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861093049

Katelyn E. Clark, LAC's National Provider Identifier is 1861093049, issued on Nov 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, CO. The record was last updated on Feb 28, 2023.