Mr. CHRISTOPHER TAD CLARK M.Ed.
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1992053474- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.Ed.
- Status
- Active
Contact & Location
- Address
- 1471 DEWAR DR STE 204, ROCK SPRINGS, WY, 829015826
- Phone
- (307) 630-3466
- Fax
- (307) 316-0228
Specialties & Taxonomies
Counselor, Mental Health
License: WY #LPC-1198
Counselor, Professional
Primary License: WY #1198