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Dorthea A Clark, MAINMENTALHEALTH
Mental Health Counselor in Cheyenne, Wyoming
NPI 1154196665

Dorthea A Clark is a Mental Health Counselor based in Cheyenne, WY and is specialized in Mental Health. Dorthea A Clark practices in Cheyenne, WY and has the professional credentials of MAINMENTALHEALTH. The NPI Number for Dorthea A Clark is 1154196665 and holds a License No. PPC-1416 (Wyoming).

The current practice location address for Dorthea A Clark is 4025 Rawlins St, Cheyenne, WY and can be reached out via phone at 307-426-4797.

Location: 4025 Rawlins St, Cheyenne, WY, 82001-1900
person
Provider Profile Details
NPI Number
1154196665
Provider Name
Dorthea A Clark
Credential
MAINMENTALHEALTH
Provider Entity Type
Individual
Gender
Female
Address
4025 Rawlins St, Cheyenne, WY, 82001-1900
Phone Number
307-426-4797
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4025 Rawlins St
City
State
Zip
82001-1900
Phone Number
307-426-4797
Fax Number
person
Provider Business Mailing Address Details
Address
4025 Rawlins St
City
State
Zip
82001-1900
Phone Number
307-426-4797
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PPC-1416 (Wyoming)
Definition
Definition to come...
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