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Mr. Kent William Clark
Mental Health Counselor in Dubois, Pennsylvania
NPI 1700406527

Kent William Clark is a Mental Health Counselor based in Indiana, PA and is specialized in Mental Health. Kent William Clark practices in Dubois, PA. The NPI Number for Kent William Clark is 1700406527 and holds a License No. (Pennsylvania).

The current practice location address for Kent William Clark is 490 Jeffers Street, Dubois, PA and can be reached out via phone at 814-731-1100.

Location: 490 Jeffers Street, Dubois, PA, 15701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700406527
Provider Name
Kent William Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
490 Jeffers Street, Dubois, PA, 15701
Phone Number
814-731-1100
Fax Number
Provider Enumeration Date
04/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
490 Jeffers Street
City
Dubois
State
Pennsylvania
Zip
15801
Phone Number
814-731-1100
Fax Number
person
Provider Business Mailing Address Details
Address
490 Jeffers Street
City
Dubois
State
Pennsylvania
Zip
15801
Phone Number
814-731-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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