Individual provider · Type 1 NPI

Christopher Tad Clark, M.ED.

Professional Counselor · Rock Springs, WY

NPI number 1992053474 Active

Practice location

1471 Dewar Dr Ste 204
Rock Springs, WY 82901-5826

Call (307) 630-3466 Map

Fax (307) 316-0228

Mailing address

4000 Dewar Dr
Rock Springs, WY 82901-6218

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-1198 (WY)
Professional Counselor Primary 101YP2500X1198 (WY)

Professional Counselor: Definition to come...

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About NPI 1992053474

Christopher Tad Clark, M.ED.'s National Provider Identifier is 1992053474, issued on Aug 15, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rock Springs, WY. The record was last updated on Apr 28, 2020.