THOMAS B CLARK
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1174269096- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 108 STABLE WAY, NICHOLASVILLE, KY, 403568047
- Phone
- (859) 550-1655
Specialties & Taxonomies
Counselor, Mental Health
Primary License: KY