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Gregory Clark
Mental Health Counselor in Prairie Du Chien, Wisconsin
NPI 1164409728

Gregory Clark is a Mental Health Counselor based in Prairie Du Chien, WI and is specialized in Mental Health. Gregory Clark practices in Prairie Du Chien, WI. The NPI Number for Gregory Clark is 1164409728 and holds a License No. 2888-125 (Wisconsin).

The current practice location address for Gregory Clark is 225 N Beaumont Rd, Prairie Du Chien, WI and can be reached out via phone at 563-252-2537 and via fax at 608-326-0420.

Location: 225 N Beaumont Rd, Prairie Du Chien, WI, 53821-1445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164409728
Provider Name
Gregory Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 N Beaumont Rd, Prairie Du Chien, WI, 53821-1445
Phone Number
563-252-2537
Fax Number
608-326-0420
Provider Enumeration Date
12/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
225 N Beaumont Rd
City
Prairie Du Chien
State
Wisconsin
Zip
53821-1445
Phone Number
563-252-2537
Fax Number
608-326-0420
person
Provider Business Mailing Address Details
Address
225 N Beaumont Rd
City
Prairie Du Chien
State
Wisconsin
Zip
53821-1445
Phone Number
563-252-2537
Fax Number
608-326-0420
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2888-125 (Wisconsin)
Definition
Definition to come...
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