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Reta Clark
Mental Health Counselor in Louisa, Kentucky
NPI 1609312669

Reta Clark is a Mental Health Counselor based in Louisa, KY and is specialized in Mental Health. Reta Clark practices in Louisa, KY. The NPI Number for Reta Clark is 1609312669 and holds a License No. 260000 (Kentucky).

The current practice location address for Reta Clark is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938.

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609312669
Provider Name
Reta Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
Provider Enumeration Date
01/16/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
260000 (Kentucky)
Definition
Definition to come...
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