Individual provider · Type 1 NPI

Nicole Clark

Mental Health Counselor · Reno, NV

NPI number 1881023943 Active

Practice location

1101 W Moana Ln
Reno, NV 89509-4775

Mailing address

1130 Buena Vista Ave
Reno, NV 89503-3049

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1881023943

Nicole Clark's National Provider Identifier is 1881023943, issued on Nov 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reno, NV. The record was last updated on Jun 5, 2015.