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Kessalyn Rae Clark, LCSW,LAC
Professional Counselor in Helena, Montana
NPI 1871071639

Kessalyn Rae Clark is a Professional Counselor based in Helena, MT and is specialized in Professional. Kessalyn Rae Clark practices in Helena, MT and has the professional credentials of LCSW,LAC. The NPI Number for Kessalyn Rae Clark is 1871071639 and holds a License No. BBH-LAC-LIC-31878 (Montana).

The current practice location address for Kessalyn Rae Clark is 501 Euclid Ave, Helena, MT and can be reached out via phone at 406-442-9244.

Location: 501 Euclid Ave, Helena, MT, 59601-6147
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Provider Profile Details
NPI Number
1871071639
Provider Name
Kessalyn Rae Clark
Credential
LCSW,LAC
Provider Entity Type
Individual
Gender
Female
Address
501 Euclid Ave, Helena, MT, 59601-6147
Phone Number
406-442-9244
Fax Number
Provider Enumeration Date
08/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92-2641389 01 MT IRS
institution
Provider Business Practice Location Address Details
Address
501 Euclid Ave
City
State
Zip
59601-2865
Phone Number
406-442-9244
Fax Number
person
Provider Business Mailing Address Details
Address
501 Euclid Ave
City
State
Zip
59601-2865
Phone Number
406-442-9244
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
BBH-LCSW-LIC-55626 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
BBH-LAC-LIC-31878 (Montana)
Definition
Definition to come...
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