Individual provider · Type 1 NPI

Justin Paul Lark, LPC

Professional Counselor · Kansas City, MO

NPI number 1962087445 Active

Practice location

6300 N Lucerne Ave
Kansas City, MO 64151-3199

Call (505) 231-1997 Map

Mailing address

108 El Camino St
Raton, NM 87740-3608

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X0018890 (CO)
Professional Counselor Primary 101YP2500X2020041662 (MO)

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About NPI 1962087445

Justin Paul Lark, LPC's National Provider Identifier is 1962087445, issued on Mar 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kansas City, MO. The record was last updated on Sep 16, 2025.