Individual provider · Type 1 NPI
Theresa Marie Clark, LPC, RPT, NCC
Professional Counselor · Hays, KS
NPI number
1972700912
Active
Practice location
108 E 12th St, Suite 1
Hays, KS 67601-3668
Mailing address
PO Box 1376
Hays, KS 67601-8376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC 916 (KS) |
Professional Counselor: Definition to come...
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About NPI 1972700912
Theresa Marie Clark, LPC, RPT, NCC's National Provider Identifier is 1972700912, issued on Jul 2, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hays, KS. The record was last updated on Jul 8, 2007.