Individual provider · Type 1 NPI
Kirby Kay Lajett Clark, MPC
Mental Health Counselor · Ballston Spa, NY
NPI number
1962004887
Active
Practice location
76 Springwood Meadows Dr
Ballston Spa, NY 12020-3541
Mailing address
2452 Route 9, Suite 302
Malta, NY 12020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P104773 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1962004887
Kirby Kay Lajett Clark, MPC's National Provider Identifier is 1962004887, issued on Nov 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ballston Spa, NY. The record was last updated on Nov 16, 2020.