person
Ms. Elizabeth Kimen Clark, LPCC
Mental Health Counselor in Farmington, New Mexico
NPI 1790001808

Elizabeth Kimen Clark is a Mental Health Counselor based in Farmington, NM and is specialized in Mental Health. Elizabeth Kimen Clark practices in Farmington, NM and has the professional credentials of LPCC. The NPI Number for Elizabeth Kimen Clark is 1790001808 and holds a License No. LPCC2415 (New Mexico).

The current practice location address for Elizabeth Kimen Clark is 2600 Farmington Ave Suite B, Farmington, NM and can be reached out via phone at 505-324-0040 and via fax at 505-324-0039.

Location: 2600 Farmington Ave Suite B, Farmington, NM, 87401-4507
person
Provider Profile Details
NPI Number
1790001808
Provider Name
Elizabeth Kimen Clark
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
2600 Farmington Ave Suite B, Farmington, NM, 87401-4507
Phone Number
505-324-0040
Fax Number
505-324-0039
Provider Enumeration Date
04/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12507717 05 NM
institution
Provider Business Practice Location Address Details
Address
2600 Farmington Ave Suite B
City
State
Zip
87401-4507
Phone Number
505-324-0040
Fax Number
505-324-0039
person
Provider Business Mailing Address Details
Address
2600 Farmington Ave Suite B
City
State
Zip
87401-4507
Phone Number
505-324-0040
Fax Number
505-324-0039
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPCC2415 (New Mexico)
Definition
Definition to come...
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