person
Tracey Clark, LPC
Professional Counselor in Pueblo, Colorado
NPI 1215479415

Tracey Clark is a Professional Counselor based in Pueblo, CO and is specialized in Professional. Tracey Clark practices in Pueblo, CO and has the professional credentials of LPC. The NPI Number for Tracey Clark is 1215479415 and holds a License No. LPC.0016209 (Colorado).

The current practice location address for Tracey Clark is 300 Colorado Ave, Pueblo, CO and can be reached out via phone at 719-543-8711 and via fax at 719-543-0171.

Location: 300 Colorado Ave, Pueblo, CO, 81004-2117
person
Provider Profile Details
NPI Number
1215479415
Provider Name
Tracey Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
300 Colorado Ave, Pueblo, CO, 81004-2117
Phone Number
719-543-8711
Fax Number
719-543-0171
Provider Enumeration Date
11/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Colorado Ave
City
State
Zip
81004-2006
Phone Number
719-543-8711
Fax Number
719-543-0171
person
Provider Business Mailing Address Details
Address
300 Colorado Ave
City
State
Zip
81004-2006
Phone Number
719-543-8711
Fax Number
719-543-0171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC.0016209 (Colorado)
Definition
Definition to come...
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