person
Mr. Christopher Tad Clark, MED
Professional Counselor in Rock Springs, Wyoming
NPI 1992053474

Christopher Tad Clark is a Professional Counselor based in Rock Springs, WY and is specialized in Professional. Christopher Tad Clark practices in Rock Springs, WY and has the professional credentials of MED. The NPI Number for Christopher Tad Clark is 1992053474 and holds a License No. LPC-1198 (Wyoming).

The current practice location address for Christopher Tad Clark is 1471 Dewar Dr Ste 204, Rock Springs, WY and can be reached out via phone at 307-630-3466 and via fax at 307-316-0228. You can also correspond with Christopher Tad Clark through the mailing address at 4000 DEWAR DR, ROCK SPRINGS, WY - 82901-6218 (mailing address contact number: 307-382-3010).

Location: 1471 Dewar Dr Ste 204, Rock Springs, WY, 82901-6218
person
Provider Profile Details
NPI Number
1992053474
Provider Name
Christopher Tad Clark
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
1471 Dewar Dr Ste 204, Rock Springs, WY, 82901-6218
Phone Number
307-630-3466
Fax Number
307-316-0228
Provider Enumeration Date
08/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1471 Dewar Dr Ste 204
City
State
Zip
82901-5826
Phone Number
307-630-3466
Fax Number
307-316-0228
person
Provider Business Mailing Address Details
Address
1471 Dewar Dr Ste 204
City
State
Zip
82901-5826
Phone Number
307-630-3466
Fax Number
307-316-0228
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1198 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-1198 (Wyoming)
Definition
Definition to come...
semi-verified symbol
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