person
Kelly Clark, MACAGS
Mental Health Counselor in Milford, Massachusetts
NPI 1598856759

Kelly Clark is a Mental Health Counselor based in Milford, MA and is specialized in Mental Health. Kelly Clark practices in Milford, MA and has the professional credentials of MACAGS. The NPI Number for Kelly Clark is 1598856759 and holds a License No. 1074 (Massachusetts).

The current practice location address for Kelly Clark is 171 Main St, Milford, MA and can be reached out via phone at 508-473-4984 and via fax at 508-482-7316.

Location: 171 Main St, Milford, MA, 01757
person
Provider Profile Details
NPI Number
1598856759
Provider Name
Kelly Clark
Credential
MACAGS
Provider Entity Type
Individual
Gender
Male
Address
171 Main St, Milford, MA, 01757
Phone Number
508-473-4984
Fax Number
508-482-7316
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LM0158 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
171 Main St
City
State
Zip
01757
Phone Number
508-473-4984
Fax Number
508-482-7316
person
Provider Business Mailing Address Details
Address
171 Main St
City
State
Zip
01757
Phone Number
508-473-4984
Fax Number
508-482-7316
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1074 ()
Definition
Definition to come...
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